| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,972 |
11,993 |
$1.07M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,808 |
1,807 |
$174K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,638 |
2,996 |
$161K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,530 |
1,528 |
$147K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,077 |
5,978 |
$143K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,106 |
1,063 |
$120K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,118 |
1,116 |
$118K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,073 |
1,058 |
$97K |
| 92587 |
|
3,794 |
3,791 |
$55K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
699 |
699 |
$45K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,872 |
5,544 |
$37K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
920 |
899 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,358 |
1,024 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,949 |
2,940 |
$17K |
| 90461 |
|
557 |
553 |
$12K |
| 99177 |
|
3,490 |
3,483 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
765 |
559 |
$7K |
| 81002 |
|
3,815 |
3,760 |
$6K |
| 99050 |
|
646 |
629 |
$6K |
| 96127 |
|
1,223 |
1,223 |
$5K |
| 96161 |
|
2,829 |
2,828 |
$5K |
| 90677 |
|
29 |
29 |
$4K |
| 96160 |
|
1,195 |
1,195 |
$3K |
| 83655 |
|
253 |
253 |
$2K |
| 88738 |
|
2,899 |
2,879 |
$2K |
| 99051 |
|
351 |
351 |
$2K |
| 90619 |
|
98 |
96 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
72 |
64 |
$982.17 |
| 85018 |
|
234 |
234 |
$321.97 |
| 90686 |
|
431 |
412 |
$300.27 |
| 90672 |
|
113 |
106 |
$137.68 |
| 36416 |
|
161 |
161 |
$45.92 |
| 99000 |
|
736 |
535 |
$4.91 |
| 90698 |
|
41 |
41 |
$0.00 |
| 99072 |
|
770 |
553 |
$0.00 |
| 90670 |
|
74 |
74 |
$0.00 |