| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,337 |
10,277 |
$699K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,830 |
2,712 |
$143K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,376 |
2,207 |
$108K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,415 |
1,378 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,241 |
1,225 |
$105K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,288 |
4,748 |
$56K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,781 |
1,718 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
502 |
496 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
302 |
278 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,029 |
2,958 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
62 |
$7K |
| 99381 |
|
71 |
69 |
$7K |
| 87807 |
|
514 |
476 |
$5K |
| 96161 |
|
405 |
389 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
37 |
34 |
$776.43 |
| 85018 |
|
330 |
325 |
$605.26 |
| 90677 |
|
561 |
550 |
$288.66 |
| 81002 |
|
67 |
62 |
$185.32 |
| 99188 |
|
27 |
27 |
$184.14 |
| 96127 |
|
26 |
26 |
$88.02 |
| 90670 |
|
500 |
487 |
$0.00 |
| 90700 |
|
263 |
257 |
$0.00 |
| 90633 |
|
379 |
376 |
$0.00 |
| 90461 |
|
26 |
25 |
$0.00 |
| 90713 |
|
66 |
61 |
$0.00 |
| 90710 |
|
49 |
44 |
$0.00 |
| 90707 |
|
46 |
45 |
$0.00 |
| 90648 |
|
39 |
39 |
$0.00 |
| 90744 |
|
386 |
374 |
$0.00 |
| 90698 |
|
738 |
719 |
$0.00 |
| 90716 |
|
55 |
54 |
$0.00 |
| 90680 |
|
494 |
481 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |