| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,285 |
5,661 |
$381K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,355 |
3,131 |
$319K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,404 |
5,367 |
$135K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,118 |
1,117 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,091 |
1,088 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,010 |
1,002 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
795 |
795 |
$72K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,545 |
1,454 |
$51K |
| 87428 |
|
1,230 |
1,176 |
$47K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,940 |
2,790 |
$18K |
| 92551 |
|
2,829 |
2,829 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
414 |
412 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
706 |
350 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
699 |
695 |
$3K |
| 99173 |
|
1,230 |
1,227 |
$890.81 |
| 90461 |
|
26 |
26 |
$694.05 |
| 81002 |
|
358 |
356 |
$666.96 |
| 96127 |
|
142 |
142 |
$562.69 |
| 87807 |
|
42 |
42 |
$219.39 |
| 99072 |
|
115 |
107 |
$30.00 |
| 90686 |
|
501 |
501 |
$17.85 |
| 90671 |
|
49 |
49 |
$0.36 |
| 90619 |
|
26 |
26 |
$0.06 |
| 90734 |
|
28 |
28 |
$0.00 |
| 90670 |
|
94 |
94 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |