| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,398 |
2,059 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
972 |
890 |
$84K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,506 |
992 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
309 |
294 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
221 |
217 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
212 |
192 |
$16K |
| 87428 |
|
183 |
173 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
260 |
236 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
955 |
894 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
455 |
432 |
$6K |
| G9153 |
Mapcp demonstration - physician incentive pool |
76 |
76 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
309 |
138 |
$4K |
| 96127 |
|
280 |
231 |
$1K |
| 85018 |
|
415 |
376 |
$752.64 |
| 99188 |
|
25 |
25 |
$405.00 |
| 90698 |
|
39 |
39 |
$97.62 |
| 90686 |
|
210 |
177 |
$65.68 |
| 90656 |
|
48 |
46 |
$0.15 |
| 90677 |
|
27 |
27 |
$0.04 |
| 36416 |
|
55 |
43 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90461 |
|
98 |
85 |
$0.00 |