| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,863 |
2,548 |
$101K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
653 |
651 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
910 |
866 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
601 |
580 |
$43K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,975 |
1,745 |
$42K |
| 92552 |
|
1,001 |
996 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,519 |
1,526 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
195 |
195 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
603 |
296 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
132 |
131 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
524 |
505 |
$7K |
| 99383 |
|
74 |
70 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
58 |
$5K |
| 90461 |
|
748 |
625 |
$5K |
| 99000 |
|
259 |
249 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
43 |
40 |
$2K |
| 0072A |
|
17 |
17 |
$678.00 |
| 0071A |
|
14 |
14 |
$558.00 |
| 96160 |
|
147 |
145 |
$300.17 |
| 90677 |
|
117 |
114 |
$272.74 |
| 96127 |
|
56 |
56 |
$47.25 |
| 90686 |
|
254 |
249 |
$0.26 |
| 91307 |
|
31 |
24 |
$0.25 |
| 90670 |
|
327 |
323 |
$0.03 |
| 90656 |
|
36 |
36 |
$0.02 |
| 90696 |
|
14 |
13 |
$0.00 |
| 90633 |
|
105 |
105 |
$0.00 |
| 99173 |
|
1,237 |
1,231 |
$0.00 |
| 90710 |
|
28 |
27 |
$0.00 |
| 90648 |
|
26 |
26 |
$0.00 |