| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,569 |
7,852 |
$641K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,786 |
3,157 |
$323K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,934 |
5,588 |
$264K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,776 |
2,647 |
$256K |
| 99460 |
|
2,189 |
2,077 |
$186K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,886 |
1,697 |
$172K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,413 |
2,255 |
$158K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,166 |
1,121 |
$108K |
| 99462 |
|
2,079 |
1,818 |
$78K |
| 99464 |
|
608 |
563 |
$39K |
| 92551 |
|
2,343 |
2,236 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
167 |
153 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,577 |
1,503 |
$16K |
| 85013 |
|
2,264 |
2,129 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
754 |
293 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
121 |
72 |
$8K |
| 81002 |
|
2,048 |
1,901 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
150 |
128 |
$5K |
| 99173 |
|
2,158 |
2,059 |
$4K |
| 96161 |
|
1,948 |
1,836 |
$3K |
| 96160 |
|
173 |
164 |
$363.47 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$178.56 |
| 90686 |
|
1,659 |
1,597 |
$21.52 |
| 90700 |
|
2,389 |
2,284 |
$0.00 |
| 90644 |
|
2,353 |
2,249 |
$0.00 |
| 90713 |
|
1,880 |
1,801 |
$0.00 |
| 90707 |
|
370 |
350 |
$0.00 |
| 90670 |
|
2,125 |
2,029 |
$0.00 |
| 90649 |
|
40 |
38 |
$0.00 |
| 90685 |
|
218 |
214 |
$0.00 |
| 90633 |
|
579 |
547 |
$0.00 |
| 90734 |
|
14 |
13 |
$0.00 |
| 90680 |
|
1,835 |
1,756 |
$0.00 |
| 90677 |
|
207 |
202 |
$0.00 |
| 90716 |
|
379 |
360 |
$0.00 |
| 90744 |
|
1,055 |
1,013 |
$0.00 |
| 90656 |
|
97 |
95 |
$0.00 |