| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,929 |
3,540 |
$144K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,468 |
1,461 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,714 |
1,637 |
$87K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,122 |
3,150 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
831 |
820 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
630 |
628 |
$50K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
871 |
844 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,913 |
3,430 |
$31K |
| 87428 |
|
370 |
359 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
171 |
170 |
$14K |
| 90461 |
|
1,784 |
1,531 |
$10K |
| 99429 |
|
168 |
168 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
336 |
163 |
$4K |
| 99381 |
|
28 |
27 |
$2K |
| 92558 |
|
1,568 |
1,551 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 99383 |
|
14 |
14 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$415.04 |
| 87807 |
|
40 |
39 |
$408.54 |
| 96160 |
|
197 |
193 |
$357.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$317.32 |
| 90670 |
|
675 |
672 |
$248.18 |
| 99174 |
|
541 |
533 |
$49.00 |
| 90686 |
|
1,114 |
1,096 |
$22.05 |
| 90648 |
|
683 |
680 |
$20.93 |
| 90723 |
|
482 |
480 |
$0.30 |
| 90680 |
|
447 |
444 |
$0.28 |
| 90677 |
|
26 |
26 |
$0.19 |
| 90651 |
|
100 |
99 |
$0.04 |
| 90633 |
|
405 |
402 |
$0.04 |
| 90716 |
|
108 |
106 |
$0.03 |
| 90707 |
|
110 |
108 |
$0.03 |
| 90715 |
|
13 |
13 |
$0.01 |
| 90734 |
|
31 |
31 |
$0.01 |
| 96161 |
|
506 |
501 |
$0.00 |
| 90656 |
|
78 |
78 |
$0.00 |
| 90696 |
|
28 |
27 |
$0.00 |
| 90672 |
|
90 |
90 |
$0.00 |
| 90700 |
|
67 |
67 |
$0.00 |
| 90671 |
|
14 |
14 |
$0.00 |
| 90710 |
|
29 |
29 |
$0.00 |