| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
678 |
572 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
87 |
85 |
$8K |
| 92550 |
|
186 |
178 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 92587 |
|
41 |
39 |
$1K |
| 92567 |
|
97 |
86 |
$1K |
| 99188 |
|
60 |
50 |
$936.00 |
| 90672 |
|
114 |
113 |
$781.55 |
| 99173 |
|
103 |
98 |
$656.87 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$560.52 |
| 96127 |
|
117 |
113 |
$499.76 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
12 |
$449.62 |
| 92551 |
|
46 |
46 |
$431.21 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
15 |
$406.34 |
| 92552 |
|
47 |
43 |
$364.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$323.70 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
16 |
$268.42 |
| 81003 |
|
62 |
60 |
$195.97 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
29 |
$182.70 |
| 83655 |
|
13 |
12 |
$129.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
13 |
$111.15 |