| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,218 |
4,748 |
$375K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,340 |
1,311 |
$140K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
931 |
930 |
$95K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,200 |
2,194 |
$91K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
852 |
850 |
$87K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
670 |
669 |
$75K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
767 |
762 |
$74K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,470 |
2,347 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,737 |
845 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
402 |
390 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
96 |
$10K |
| 99188 |
|
582 |
582 |
$9K |
| 96127 |
|
990 |
988 |
$7K |
| 90461 |
|
296 |
296 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
560 |
560 |
$4K |
| 87807 |
|
297 |
286 |
$3K |
| 83655 |
|
280 |
280 |
$3K |
| 99050 |
|
128 |
126 |
$2K |
| 85018 |
|
427 |
425 |
$875.78 |
| 81002 |
|
147 |
145 |
$398.37 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$280.93 |
| 96161 |
|
29 |
29 |
$236.06 |
| 90651 |
|
316 |
315 |
$224.16 |
| 90686 |
|
66 |
66 |
$16.42 |
| 90620 |
|
32 |
32 |
$0.00 |
| 90716 |
|
304 |
304 |
$0.00 |
| 90744 |
|
387 |
385 |
$0.00 |
| 90680 |
|
453 |
450 |
$0.00 |
| 90698 |
|
558 |
554 |
$0.00 |
| 90619 |
|
174 |
174 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| 90715 |
|
234 |
234 |
$0.00 |
| 90707 |
|
226 |
226 |
$0.00 |
| 90670 |
|
686 |
683 |
$0.00 |
| 90710 |
|
198 |
198 |
$0.00 |
| 90633 |
|
456 |
456 |
$0.00 |
| 90700 |
|
399 |
398 |
$0.00 |
| 90734 |
|
156 |
156 |
$0.00 |
| 90713 |
|
249 |
249 |
$0.00 |
| 90648 |
|
100 |
100 |
$0.00 |