| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,303 |
11,983 |
$522K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,571 |
3,420 |
$275K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,217 |
3,202 |
$254K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,872 |
4,565 |
$250K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,183 |
7,172 |
$154K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,062 |
1,056 |
$88K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,864 |
3,692 |
$53K |
| 99000 |
|
4,990 |
4,735 |
$49K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,114 |
1,071 |
$44K |
| 99381 |
|
444 |
436 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
374 |
371 |
$34K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
71 |
48 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,657 |
807 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,310 |
2,278 |
$19K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
179 |
178 |
$13K |
| 90461 |
|
1,986 |
1,782 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
189 |
184 |
$11K |
| 99460 |
|
130 |
130 |
$9K |
| 99383 |
|
92 |
91 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
349 |
311 |
$7K |
| 99384 |
|
53 |
53 |
$5K |
| 99050 |
|
261 |
248 |
$4K |
| 87807 |
|
248 |
242 |
$3K |
| 99382 |
|
16 |
16 |
$1K |
| 0071A |
|
34 |
34 |
$1K |
| 92587 |
|
190 |
187 |
$1K |
| 99441 |
|
30 |
28 |
$711.66 |
| 0072A |
|
14 |
14 |
$560.00 |
| 90619 |
|
57 |
57 |
$160.08 |
| 96160 |
|
61 |
61 |
$128.25 |
| 90686 |
|
286 |
285 |
$36.37 |
| 90715 |
|
34 |
34 |
$32.91 |
| 90677 |
|
568 |
561 |
$3.78 |
| 91307 |
|
68 |
59 |
$0.59 |
| 90672 |
|
21 |
21 |
$0.04 |
| 90713 |
|
586 |
579 |
$0.03 |
| 90648 |
|
1,676 |
1,663 |
$0.03 |
| 90670 |
|
1,553 |
1,541 |
$0.03 |
| 90680 |
|
1,442 |
1,424 |
$0.02 |
| 90716 |
|
510 |
506 |
$0.00 |
| 90744 |
|
399 |
394 |
$0.00 |
| 90723 |
|
661 |
653 |
$0.00 |
| 90698 |
|
481 |
474 |
$0.00 |
| 96127 |
|
13 |
13 |
$0.00 |
| 90696 |
|
86 |
86 |
$0.00 |
| 90656 |
|
27 |
27 |
$0.00 |
| 90660 |
|
13 |
13 |
$0.00 |
| 90700 |
|
1,142 |
1,134 |
$0.00 |
| 90633 |
|
1,029 |
1,024 |
$0.00 |
| 90707 |
|
326 |
326 |
$0.00 |
| 99173 |
|
548 |
544 |
$0.00 |
| 90710 |
|
59 |
59 |
$0.00 |
| 90658 |
|
12 |
12 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |