| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,362 |
3,906 |
$164K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,200 |
1,973 |
$113K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
883 |
862 |
$77K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,618 |
1,489 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
696 |
682 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
478 |
467 |
$45K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,661 |
1,665 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,505 |
2,340 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
419 |
362 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,618 |
1,357 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,612 |
1,343 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
321 |
305 |
$8K |
| 90461 |
|
807 |
645 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
99 |
98 |
$1K |
| 87807 |
|
121 |
115 |
$1K |
| 96160 |
|
389 |
381 |
$503.85 |
| 90686 |
|
385 |
378 |
$0.03 |
| 90680 |
|
84 |
84 |
$0.00 |
| 90647 |
|
109 |
109 |
$0.00 |
| 96127 |
|
422 |
381 |
$0.00 |
| 90723 |
|
117 |
117 |
$0.00 |
| 90651 |
|
42 |
41 |
$0.00 |
| 90633 |
|
42 |
40 |
$0.00 |
| 90734 |
|
48 |
48 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 90670 |
|
173 |
172 |
$0.00 |
| 90710 |
|
45 |
44 |
$0.00 |