| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,385 |
11,082 |
$492K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,915 |
1,812 |
$148K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,587 |
1,507 |
$132K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,279 |
1,202 |
$96K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,783 |
3,683 |
$90K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,010 |
929 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,001 |
933 |
$52K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,722 |
2,491 |
$36K |
| 92552 |
|
1,162 |
1,086 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
312 |
309 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,058 |
1,407 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
355 |
339 |
$10K |
| 90461 |
|
1,276 |
1,097 |
$8K |
| 99000 |
|
405 |
366 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
189 |
99 |
$3K |
| 99381 |
|
26 |
26 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
166 |
161 |
$2K |
| 96160 |
|
1,082 |
986 |
$2K |
| 99384 |
|
14 |
14 |
$1K |
| 97169 |
|
26 |
24 |
$560.40 |
| 81007 |
|
16 |
15 |
$375.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$373.51 |
| 90670 |
|
840 |
779 |
$0.43 |
| 90633 |
|
508 |
480 |
$0.40 |
| 90647 |
|
757 |
715 |
$0.34 |
| 90651 |
|
217 |
190 |
$0.25 |
| 90680 |
|
688 |
646 |
$0.19 |
| 90686 |
|
918 |
887 |
$0.16 |
| 90620 |
|
102 |
93 |
$0.11 |
| 90715 |
|
14 |
14 |
$0.10 |
| 90696 |
|
66 |
55 |
$0.07 |
| 90700 |
|
55 |
50 |
$0.04 |
| 90723 |
|
332 |
310 |
$0.01 |
| 90656 |
|
208 |
208 |
$0.00 |
| 90677 |
|
150 |
148 |
$0.00 |
| 96127 |
|
88 |
83 |
$0.00 |
| 94760 |
|
14 |
14 |
$0.00 |
| 90698 |
|
53 |
51 |
$0.00 |
| 90660 |
|
12 |
12 |
$0.00 |
| 90716 |
|
39 |
37 |
$0.00 |
| 90707 |
|
27 |
26 |
$0.00 |
| 90671 |
|
185 |
174 |
$0.00 |
| 90734 |
|
255 |
231 |
$0.00 |
| 90710 |
|
53 |
45 |
$0.00 |