| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,344 |
3,650 |
$243K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,237 |
1,141 |
$99K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
986 |
968 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
448 |
436 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
438 |
399 |
$31K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,230 |
3,017 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,594 |
1,419 |
$21K |
| 92551 |
|
1,198 |
1,159 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
305 |
286 |
$10K |
| 90713 |
|
652 |
635 |
$8K |
| 90700 |
|
644 |
629 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
82 |
$7K |
| 90686 |
|
446 |
440 |
$5K |
| 90670 |
|
384 |
378 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
326 |
312 |
$4K |
| 90648 |
|
405 |
398 |
$4K |
| 0072A |
|
86 |
79 |
$3K |
| 0071A |
|
94 |
77 |
$3K |
| 85018 |
|
1,218 |
1,189 |
$3K |
| 99173 |
|
1,195 |
1,158 |
$3K |
| 90633 |
|
202 |
197 |
$3K |
| 90685 |
|
133 |
130 |
$1K |
| 90716 |
|
111 |
110 |
$1K |
| 81002 |
|
465 |
442 |
$1K |
| 90707 |
|
99 |
97 |
$1K |
| 87807 |
|
63 |
61 |
$800.55 |
| 90680 |
|
56 |
56 |
$697.00 |
| 90744 |
|
42 |
38 |
$485.07 |
| 90734 |
|
36 |
36 |
$468.00 |
| 90649 |
|
34 |
34 |
$422.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$208.32 |