| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,956 |
9,526 |
$529K |
| 87428 |
|
3,450 |
3,141 |
$205K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,699 |
2,433 |
$108K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,388 |
1,194 |
$100K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,375 |
1,267 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
911 |
813 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
720 |
654 |
$48K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,762 |
4,291 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
304 |
282 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,033 |
2,467 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
652 |
590 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,352 |
615 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
214 |
197 |
$7K |
| 92587 |
|
735 |
618 |
$5K |
| 96127 |
|
1,356 |
1,074 |
$5K |
| 87807 |
|
740 |
686 |
$5K |
| 99050 |
|
354 |
332 |
$4K |
| 99177 |
|
1,403 |
1,249 |
$4K |
| 96160 |
|
897 |
718 |
$2K |
| 90461 |
|
1,292 |
1,157 |
$1K |
| 90677 |
|
115 |
92 |
$1K |
| 83655 |
|
116 |
110 |
$753.32 |
| 87420 |
|
54 |
53 |
$438.84 |
| 90670 |
|
404 |
390 |
$423.72 |
| 90710 |
|
112 |
93 |
$395.51 |
| 96161 |
|
115 |
90 |
$289.04 |
| 90688 |
|
410 |
367 |
$276.20 |
| 3008F |
|
105 |
102 |
$220.00 |
| 90698 |
|
496 |
460 |
$172.35 |
| 85018 |
|
103 |
99 |
$145.22 |
| 81003 |
|
110 |
99 |
$128.43 |
| 90658 |
|
48 |
47 |
$39.26 |
| 90744 |
|
77 |
75 |
$24.41 |
| 90672 |
|
25 |
13 |
$23.70 |
| 90633 |
|
97 |
96 |
$17.52 |
| 36416 |
|
562 |
513 |
$2.72 |
| 90651 |
|
15 |
14 |
$0.00 |
| 90680 |
|
140 |
137 |
$0.00 |
| 90696 |
|
23 |
13 |
$0.00 |