| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,916 |
25,201 |
$1.67M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,420 |
10,481 |
$926K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,861 |
3,333 |
$256K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,068 |
12,289 |
$222K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,857 |
2,602 |
$216K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,592 |
2,388 |
$191K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,566 |
1,429 |
$124K |
| 92552 |
|
6,026 |
5,321 |
$113K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,467 |
2,086 |
$62K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,744 |
4,170 |
$46K |
| 90461 |
|
4,165 |
3,562 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,069 |
958 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,111 |
2,056 |
$28K |
| 92587 |
|
1,262 |
1,244 |
$20K |
| 96127 |
|
6,536 |
5,516 |
$17K |
| 90686 |
|
2,585 |
2,371 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,531 |
2,122 |
$15K |
| 90671 |
|
168 |
126 |
$10K |
| 88738 |
|
3,636 |
3,294 |
$10K |
| 99173 |
|
6,679 |
5,181 |
$8K |
| 90670 |
|
545 |
493 |
$7K |
| 90734 |
|
171 |
148 |
$6K |
| 0071A |
|
139 |
133 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
61 |
52 |
$4K |
| 0072A |
|
130 |
115 |
$4K |
| 90619 |
|
75 |
56 |
$3K |
| 90651 |
|
90 |
65 |
$3K |
| 99442 |
|
28 |
28 |
$2K |
| 90677 |
|
37 |
26 |
$1K |
| 90700 |
|
623 |
445 |
$952.63 |
| 90710 |
|
26 |
26 |
$762.41 |
| 36416 |
|
172 |
168 |
$739.92 |
| 83655 |
|
89 |
88 |
$518.51 |
| 90715 |
|
95 |
63 |
$487.10 |
| 90658 |
|
207 |
178 |
$485.06 |
| 90713 |
|
210 |
168 |
$477.61 |
| 90674 |
|
44 |
36 |
$455.04 |
| 87807 |
|
208 |
182 |
$342.34 |
| 90716 |
|
27 |
16 |
$333.12 |
| 90685 |
|
36 |
36 |
$314.95 |
| 90680 |
|
226 |
183 |
$302.48 |
| 92567 |
|
29 |
29 |
$272.32 |
| 90707 |
|
24 |
16 |
$261.93 |
| 90744 |
|
175 |
131 |
$169.66 |
| 99188 |
|
29 |
17 |
$165.00 |
| 90634 |
|
46 |
38 |
$127.02 |
| 90647 |
|
90 |
71 |
$55.30 |
| 94760 |
|
79 |
48 |
$27.88 |
| 90648 |
|
207 |
123 |
$25.84 |
| 91307 |
|
331 |
284 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
30 |
17 |
$0.00 |
| 91300 |
|
14 |
13 |
$0.00 |