| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,480 |
3,099 |
$197K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,182 |
1,984 |
$177K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,924 |
1,808 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
589 |
564 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
319 |
309 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
303 |
268 |
$20K |
| 90686 |
|
1,120 |
1,087 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
127 |
125 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
645 |
610 |
$8K |
| 96127 |
|
1,315 |
1,206 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
661 |
596 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
285 |
185 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,160 |
3,002 |
$5K |
| 90670 |
|
163 |
153 |
$5K |
| 81002 |
|
1,386 |
1,333 |
$4K |
| 90700 |
|
341 |
322 |
$4K |
| 0002A |
|
82 |
82 |
$3K |
| 0071A |
|
72 |
72 |
$3K |
| 0001A |
|
72 |
72 |
$3K |
| 99173 |
|
1,239 |
1,195 |
$3K |
| 90672 |
|
188 |
187 |
$3K |
| 0072A |
|
69 |
66 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
76 |
75 |
$3K |
| 90713 |
|
171 |
162 |
$2K |
| 92551 |
|
228 |
220 |
$2K |
| 90651 |
|
40 |
40 |
$2K |
| 90648 |
|
136 |
131 |
$1K |
| 90461 |
|
785 |
732 |
$808.42 |
| 0004A |
|
20 |
20 |
$800.00 |
| 90680 |
|
25 |
25 |
$656.93 |
| 0081A |
|
20 |
17 |
$576.00 |
| 90480 |
|
23 |
23 |
$519.00 |
| 90633 |
|
45 |
41 |
$462.55 |
| 90660 |
|
15 |
15 |
$221.60 |
| 90685 |
|
18 |
18 |
$192.93 |
| 90744 |
|
12 |
12 |
$124.35 |
| 90734 |
|
14 |
12 |
$88.00 |