| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,267 |
5,222 |
$297K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
836 |
731 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
666 |
517 |
$46K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,661 |
2,283 |
$43K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,206 |
1,047 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
267 |
242 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
845 |
759 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
407 |
340 |
$6K |
| 90677 |
|
26 |
24 |
$5K |
| 90686 |
|
429 |
386 |
$5K |
| 96127 |
|
239 |
215 |
$3K |
| 90671 |
|
96 |
64 |
$2K |
| 92567 |
|
151 |
135 |
$2K |
| 90670 |
|
171 |
150 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
455 |
436 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$2K |
| 90461 |
|
169 |
166 |
$986.15 |
| 90698 |
|
95 |
82 |
$814.20 |
| 99173 |
|
75 |
70 |
$557.01 |
| 90633 |
|
52 |
48 |
$513.08 |
| 99000 |
|
19 |
16 |
$445.74 |
| 90656 |
|
23 |
23 |
$384.33 |
| 90716 |
|
12 |
12 |
$337.40 |
| 90651 |
|
17 |
12 |
$284.07 |
| 87807 |
|
26 |
26 |
$261.56 |
| 90707 |
|
12 |
12 |
$227.86 |
| 90680 |
|
34 |
28 |
$217.60 |
| 90744 |
|
28 |
28 |
$179.20 |
| 90700 |
|
12 |
12 |
$76.80 |