| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,625 |
4,186 |
$339K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,151 |
2,017 |
$233K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,863 |
4,819 |
$151K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,262 |
1,261 |
$112K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,098 |
1,097 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,059 |
1,058 |
$94K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
568 |
555 |
$46K |
| 92551 |
|
3,242 |
3,225 |
$37K |
| 99401 |
|
1,262 |
1,262 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,248 |
2,240 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
501 |
480 |
$23K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
591 |
575 |
$12K |
| 99173 |
|
3,245 |
3,238 |
$8K |
| 92552 |
|
353 |
352 |
$5K |
| 94760 |
|
2,384 |
2,228 |
$5K |
| 96127 |
|
1,034 |
1,033 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
469 |
262 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
147 |
147 |
$2K |
| 83655 |
|
360 |
360 |
$2K |
| 97802 |
|
85 |
85 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
143 |
141 |
$1K |
| 87110 |
|
152 |
152 |
$961.85 |
| 90686 |
|
818 |
817 |
$805.76 |
| 86580 |
|
169 |
169 |
$720.95 |
| 0002A |
|
12 |
12 |
$312.96 |
| 92567 |
|
12 |
12 |
$181.68 |
| 99072 |
|
1,735 |
1,521 |
$80.00 |
| 90688 |
|
73 |
73 |
$71.36 |
| 90671 |
|
26 |
26 |
$0.00 |
| 90619 |
|
31 |
31 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |