| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
763 |
699 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
428 |
404 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
277 |
258 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
224 |
216 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
211 |
203 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
116 |
115 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
53 |
52 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
161 |
95 |
$2K |
| 90686 |
|
128 |
126 |
$1K |
| 90707 |
|
54 |
53 |
$478.00 |
| 90670 |
|
76 |
74 |
$440.00 |
| 90648 |
|
72 |
70 |
$418.00 |
| 90723 |
|
50 |
49 |
$308.00 |
| 90716 |
|
26 |
26 |
$278.00 |
| 90633 |
|
45 |
42 |
$264.00 |
| 99188 |
|
12 |
12 |
$237.60 |
| 90680 |
|
34 |
33 |
$156.00 |
| 96127 |
|
189 |
184 |
$51.48 |
| 99173 |
|
120 |
119 |
$0.00 |
| 96160 |
|
177 |
173 |
$0.00 |
| 92551 |
|
266 |
258 |
$0.00 |
| 96161 |
|
152 |
146 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
104 |
103 |
$0.00 |