| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,725 |
1,553 |
$86K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
924 |
822 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,220 |
1,944 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
630 |
567 |
$51K |
| 96127 |
|
2,227 |
1,938 |
$35K |
| 96160 |
|
2,023 |
1,830 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
345 |
285 |
$25K |
| 90686 |
|
674 |
601 |
$7K |
| 99173 |
|
846 |
754 |
$6K |
| 90651 |
|
289 |
257 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
35 |
24 |
$2K |
| 90621 |
|
114 |
99 |
$2K |
| 90619 |
|
80 |
76 |
$1K |
| 90734 |
|
110 |
85 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
26 |
26 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
23 |
14 |
$1K |
| 0071A |
|
28 |
18 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
261 |
210 |
$1K |
| 99402 |
|
26 |
16 |
$780.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
21 |
$530.55 |
| 90715 |
|
30 |
28 |
$497.15 |
| 90671 |
|
14 |
12 |
$233.94 |
| 91307 |
|
43 |
29 |
$150.05 |
| 90633 |
|
19 |
12 |
$121.60 |
| 85018 |
|
12 |
12 |
$27.84 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
659 |
580 |
$0.00 |