| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,513 |
2,227 |
$124K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
630 |
500 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
673 |
557 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
503 |
473 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
528 |
437 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
431 |
400 |
$29K |
| 36416 |
|
2,782 |
2,323 |
$11K |
| 96127 |
|
734 |
567 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
320 |
297 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
205 |
187 |
$7K |
| 85018 |
|
3,004 |
2,370 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
522 |
446 |
$6K |
| 90686 |
|
624 |
512 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
289 |
255 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
202 |
176 |
$5K |
| 90677 |
|
83 |
81 |
$4K |
| 90651 |
|
64 |
61 |
$2K |
| 90656 |
|
116 |
114 |
$2K |
| 90700 |
|
113 |
100 |
$2K |
| 90713 |
|
91 |
86 |
$2K |
| 90648 |
|
89 |
82 |
$1K |
| 0071A |
|
29 |
24 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
68 |
$1K |
| 90680 |
|
60 |
56 |
$1K |
| 90619 |
|
44 |
40 |
$735.24 |
| 90744 |
|
43 |
43 |
$718.53 |
| 87807 |
|
68 |
67 |
$684.08 |
| 90633 |
|
14 |
12 |
$233.94 |
| 90696 |
|
12 |
12 |
$183.81 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.12 |
| 99072 |
|
361 |
340 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
30 |
30 |
$0.00 |