| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,750 |
11,669 |
$895K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,939 |
5,090 |
$559K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,020 |
10,526 |
$490K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,786 |
4,036 |
$432K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,919 |
3,351 |
$358K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,782 |
3,345 |
$338K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,519 |
2,089 |
$242K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,428 |
3,910 |
$175K |
| 99173 |
|
6,367 |
5,329 |
$39K |
| 92551 |
|
4,794 |
4,339 |
$27K |
| 92552 |
|
2,179 |
1,679 |
$18K |
| 99381 |
|
200 |
172 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
637 |
529 |
$6K |
| 99050 |
|
440 |
363 |
$5K |
| 99174 |
|
273 |
178 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
197 |
163 |
$3K |
| 96127 |
|
224 |
198 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
259 |
145 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
12 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
27 |
26 |
$1K |
| 90686 |
|
4,909 |
3,968 |
$537.70 |
| 90734 |
|
381 |
306 |
$399.27 |
| 87807 |
|
26 |
12 |
$148.85 |
| 90715 |
|
232 |
192 |
$125.22 |
| 90716 |
|
1,476 |
1,329 |
$121.27 |
| 90707 |
|
1,507 |
1,323 |
$76.43 |
| 90685 |
|
78 |
49 |
$43.71 |
| 81002 |
|
1,897 |
1,377 |
$19.52 |
| 90632 |
|
663 |
620 |
$4.70 |
| 90648 |
|
3,233 |
2,873 |
$0.02 |
| 90670 |
|
2,554 |
2,212 |
$0.02 |
| 90656 |
|
369 |
355 |
$0.01 |
| 90688 |
|
255 |
206 |
$0.01 |
| 90651 |
|
562 |
480 |
$0.00 |
| 90723 |
|
2,378 |
2,151 |
$0.00 |
| 90680 |
|
2,259 |
2,048 |
$0.00 |
| 90696 |
|
290 |
247 |
$0.00 |
| 90619 |
|
108 |
80 |
$0.00 |
| 90660 |
|
57 |
57 |
$0.00 |
| 90633 |
|
945 |
745 |
$0.00 |
| 90671 |
|
672 |
657 |
$0.00 |
| 90672 |
|
228 |
211 |
$0.00 |
| 90700 |
|
312 |
244 |
$0.00 |