| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,036 |
887 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
540 |
463 |
$37K |
| 90677 |
|
405 |
366 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
331 |
258 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
181 |
168 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
424 |
368 |
$9K |
| 90723 |
|
382 |
322 |
$6K |
| 99383 |
|
66 |
56 |
$6K |
| 90647 |
|
343 |
288 |
$6K |
| 90680 |
|
275 |
246 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
44 |
$4K |
| 90651 |
|
81 |
72 |
$4K |
| 90633 |
|
153 |
122 |
$3K |
| 90686 |
|
139 |
120 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
57 |
46 |
$2K |
| 83655 |
|
154 |
101 |
$2K |
| 90656 |
|
109 |
109 |
$2K |
| 99382 |
|
16 |
12 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
34 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 96127 |
|
58 |
50 |
$1K |
| 90734 |
|
67 |
60 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
13 |
$1K |
| 90710 |
|
32 |
29 |
$534.72 |
| 87807 |
|
33 |
24 |
$331.98 |
| 90716 |
|
18 |
13 |
$300.78 |
| 85018 |
|
91 |
61 |
$211.12 |