| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,972 |
6,015 |
$475K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,467 |
2,309 |
$231K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,700 |
1,611 |
$146K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,622 |
3,619 |
$144K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,470 |
1,469 |
$134K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
593 |
593 |
$52K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,420 |
920 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
401 |
389 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
170 |
170 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
766 |
755 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
967 |
966 |
$8K |
| 87430 |
|
571 |
555 |
$8K |
| 87807 |
|
285 |
279 |
$3K |
| 87070 |
|
351 |
343 |
$3K |
| 96127 |
|
275 |
275 |
$1K |
| 92587 |
|
39 |
39 |
$734.29 |
| 87899 |
|
44 |
42 |
$614.47 |
| 96161 |
|
26 |
26 |
$130.00 |
| 90686 |
|
1,122 |
1,122 |
$0.01 |
| 90670 |
|
833 |
833 |
$0.00 |
| 90633 |
|
106 |
106 |
$0.00 |
| 90707 |
|
56 |
56 |
$0.00 |
| 99072 |
|
507 |
443 |
$0.00 |
| 90715 |
|
19 |
19 |
$0.00 |
| 90700 |
|
82 |
82 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 90680 |
|
160 |
160 |
$0.00 |
| 90698 |
|
259 |
259 |
$0.00 |
| 90716 |
|
56 |
56 |
$0.00 |
| 90677 |
|
83 |
83 |
$0.00 |
| 90744 |
|
62 |
62 |
$0.00 |
| 90651 |
|
32 |
32 |
$0.00 |