| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,407 |
18,089 |
$1.21M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,635 |
8,327 |
$214K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,405 |
2,404 |
$181K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,668 |
1,668 |
$134K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,638 |
1,637 |
$124K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,106 |
1,038 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
563 |
537 |
$47K |
| 92551 |
|
5,462 |
5,461 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,007 |
2,913 |
$16K |
| 99401 |
|
4,487 |
4,473 |
$14K |
| 90461 |
|
318 |
314 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,453 |
3,436 |
$9K |
| 81002 |
|
4,557 |
4,529 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
236 |
234 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
446 |
225 |
$6K |
| 0071A |
|
98 |
96 |
$3K |
| 0001A |
|
72 |
72 |
$2K |
| 0072A |
|
70 |
70 |
$2K |
| 90621 |
|
30 |
30 |
$1K |
| 81000 |
|
224 |
223 |
$819.64 |
| 90686 |
|
2,292 |
2,284 |
$649.79 |
| 0002A |
|
19 |
19 |
$597.04 |
| 83655 |
|
26 |
26 |
$231.28 |
| 90649 |
|
75 |
75 |
$192.05 |
| 99050 |
|
13 |
13 |
$115.00 |
| 90715 |
|
120 |
120 |
$100.92 |
| 90656 |
|
173 |
172 |
$70.59 |
| 85018 |
|
25 |
25 |
$38.78 |
| 99173 |
|
5,335 |
5,329 |
$11.22 |
| 94760 |
|
858 |
761 |
$1.75 |
| 90619 |
|
77 |
77 |
$0.00 |
| 90716 |
|
154 |
154 |
$0.00 |
| 90698 |
|
410 |
409 |
$0.00 |
| 91307 |
|
188 |
168 |
$0.00 |
| 90744 |
|
49 |
49 |
$0.00 |
| 36416 |
|
14 |
14 |
$0.00 |
| 90680 |
|
15 |
15 |
$0.00 |
| 99000 |
|
42 |
38 |
$0.00 |
| 90651 |
|
94 |
94 |
$0.00 |
| 90674 |
|
30 |
30 |
$0.00 |
| 90707 |
|
132 |
132 |
$0.00 |
| 90734 |
|
268 |
267 |
$0.00 |
| 90633 |
|
171 |
171 |
$0.00 |
| 90670 |
|
350 |
349 |
$0.00 |
| 99072 |
|
235 |
227 |
$0.00 |
| 90685 |
|
43 |
43 |
$0.00 |
| 91300 |
|
154 |
145 |
$0.00 |