| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,060 |
3,637 |
$131K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,069 |
1,838 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
680 |
646 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
731 |
675 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
245 |
224 |
$16K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
387 |
351 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,303 |
1,098 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
297 |
254 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
224 |
205 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
34 |
33 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
203 |
189 |
$2K |
| 90461 |
|
1,218 |
1,016 |
$2K |
| 99382 |
|
15 |
14 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
46 |
37 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$754.12 |
| 90723 |
|
306 |
291 |
$96.04 |
| 92551 |
|
18 |
15 |
$76.32 |
| 90670 |
|
285 |
262 |
$9.35 |
| 90648 |
|
346 |
320 |
$7.87 |
| 96161 |
|
89 |
86 |
$2.36 |
| 90633 |
|
62 |
56 |
$0.02 |
| 90680 |
|
237 |
224 |
$0.00 |
| 90686 |
|
261 |
235 |
$0.00 |
| 90677 |
|
160 |
159 |
$0.00 |
| 90647 |
|
71 |
71 |
$0.00 |
| 90716 |
|
27 |
23 |
$0.00 |
| 90696 |
|
17 |
14 |
$0.00 |
| 36416 |
|
41 |
39 |
$0.00 |
| 90707 |
|
27 |
23 |
$0.00 |
| 99173 |
|
21 |
18 |
$0.00 |