| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,873 |
5,201 |
$270K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,248 |
1,932 |
$157K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,143 |
1,622 |
$154K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,858 |
1,585 |
$124K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,935 |
3,112 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
679 |
605 |
$46K |
| 96127 |
|
3,190 |
2,730 |
$46K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
669 |
562 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
353 |
285 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,190 |
1,071 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
689 |
581 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
756 |
484 |
$15K |
| 90648 |
|
1,266 |
972 |
$13K |
| 90670 |
|
1,088 |
928 |
$12K |
| 90723 |
|
655 |
556 |
$7K |
| 90686 |
|
701 |
622 |
$6K |
| 90677 |
|
145 |
127 |
$6K |
| 87428 |
|
52 |
51 |
$3K |
| 83655 |
|
185 |
145 |
$2K |
| 90681 |
|
146 |
116 |
$2K |
| 90734 |
|
113 |
70 |
$1K |
| 90633 |
|
161 |
115 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
89 |
86 |
$1K |
| 90647 |
|
56 |
44 |
$998.67 |
| 90656 |
|
48 |
46 |
$891.20 |
| 87807 |
|
90 |
76 |
$874.56 |
| 90651 |
|
50 |
26 |
$768.88 |
| 36416 |
|
125 |
96 |
$479.70 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
19 |
$423.96 |
| 85018 |
|
186 |
147 |
$413.22 |
| 85014 |
|
182 |
146 |
$401.62 |
| 90696 |
|
36 |
13 |
$274.47 |
| 90710 |
|
36 |
13 |
$274.47 |
| 99072 |
|
784 |
638 |
$25.00 |
| 90461 |
|
1,185 |
928 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,358 |
1,807 |
$0.00 |