| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,186 |
7,141 |
$800K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,110 |
928 |
$104K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,030 |
792 |
$83K |
| 86328 |
|
1,897 |
1,562 |
$74K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,170 |
2,156 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
629 |
426 |
$55K |
| 92550 |
|
2,870 |
1,706 |
$48K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,587 |
2,902 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
423 |
365 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
251 |
235 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,515 |
2,095 |
$19K |
| 90698 |
|
910 |
704 |
$17K |
| 90688 |
|
809 |
719 |
$16K |
| 90670 |
|
781 |
613 |
$14K |
| 92551 |
|
1,202 |
1,057 |
$10K |
| 87807 |
|
1,081 |
781 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
202 |
153 |
$7K |
| 90677 |
|
138 |
115 |
$7K |
| 90687 |
|
281 |
252 |
$6K |
| 90680 |
|
343 |
243 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,087 |
749 |
$5K |
| 81000 |
|
1,534 |
1,289 |
$4K |
| 90710 |
|
166 |
147 |
$3K |
| 99173 |
|
1,177 |
1,026 |
$3K |
| 90633 |
|
114 |
104 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
14 |
$2K |
| 90744 |
|
83 |
78 |
$2K |
| 90734 |
|
64 |
55 |
$1K |
| 94010 |
|
186 |
43 |
$1K |
| 90651 |
|
61 |
49 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
26 |
$1K |
| 96161 |
|
501 |
383 |
$1K |
| 90649 |
|
34 |
28 |
$605.77 |
| 90715 |
|
35 |
26 |
$605.28 |
| 90696 |
|
26 |
25 |
$558.72 |
| 90685 |
|
52 |
13 |
$442.32 |
| 99000 |
|
4,653 |
2,969 |
$27.00 |
| 36416 |
|
413 |
262 |
$18.00 |