| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,291 |
2,069 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
917 |
777 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
777 |
701 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
764 |
644 |
$53K |
| 96127 |
|
1,141 |
1,046 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
269 |
248 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
865 |
776 |
$17K |
| 90677 |
|
192 |
168 |
$13K |
| 90686 |
|
1,125 |
995 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
122 |
116 |
$9K |
| 90670 |
|
232 |
175 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
140 |
130 |
$3K |
| 90647 |
|
183 |
148 |
$3K |
| 90656 |
|
175 |
165 |
$3K |
| 90723 |
|
170 |
151 |
$3K |
| 90680 |
|
123 |
108 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
141 |
131 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$423.96 |
| 90633 |
|
54 |
37 |
$377.63 |
| 90734 |
|
31 |
27 |
$373.67 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$359.95 |
| 90715 |
|
12 |
12 |
$200.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$188.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
37 |
34 |
$108.00 |