| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,500 |
2,191 |
$189K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
931 |
811 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
817 |
797 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
833 |
770 |
$87K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,242 |
1,175 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
160 |
160 |
$20K |
| 97802 |
|
758 |
734 |
$18K |
| 92552 |
|
694 |
674 |
$9K |
| 87428 |
|
174 |
163 |
$5K |
| 99188 |
|
173 |
166 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
25 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
165 |
146 |
$2K |
| 83655 |
|
88 |
85 |
$526.97 |
| 85018 |
|
319 |
311 |
$400.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
33 |
$364.12 |
| 90461 |
|
12 |
12 |
$216.00 |
| 90670 |
|
246 |
226 |
$74.35 |
| 90686 |
|
90 |
86 |
$53.91 |
| 90680 |
|
71 |
68 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
300 |
282 |
$0.00 |
| 96127 |
|
198 |
194 |
$0.00 |
| 90723 |
|
56 |
54 |
$0.00 |
| 99173 |
|
530 |
501 |
$0.00 |
| 90648 |
|
179 |
164 |
$0.00 |