| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,859 |
4,023 |
$294K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,637 |
2,328 |
$208K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
861 |
761 |
$77K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
707 |
650 |
$70K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,541 |
2,405 |
$36K |
| 99215 |
Prolong outpt/office vis |
123 |
121 |
$17K |
| 90461 |
|
688 |
628 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
145 |
144 |
$12K |
| 99188 |
|
1,485 |
1,355 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,128 |
1,044 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,034 |
924 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
89 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
287 |
265 |
$3K |
| 96127 |
|
1,063 |
987 |
$2K |
| 85018 |
|
1,387 |
1,269 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
259 |
186 |
$1K |
| 96160 |
|
1,546 |
1,471 |
$1K |
| 81002 |
|
313 |
306 |
$952.42 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$927.73 |
| 69210 |
|
13 |
12 |
$378.88 |
| 87807 |
|
12 |
12 |
$134.22 |
| 92551 |
|
742 |
610 |
$25.04 |
| 99177 |
|
401 |
269 |
$19.01 |
| 90686 |
|
261 |
257 |
$9.00 |
| 90688 |
|
161 |
158 |
$9.00 |
| 36416 |
|
1,347 |
1,102 |
$8.72 |
| 99173 |
|
621 |
532 |
$0.00 |
| 90670 |
|
151 |
147 |
$0.00 |
| D0415 |
|
18 |
18 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90672 |
|
27 |
27 |
$0.00 |
| 99072 |
|
35 |
32 |
$0.00 |
| 90680 |
|
49 |
49 |
$0.00 |