| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,418 |
27,272 |
$1.73M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,774 |
19,133 |
$1.70M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,752 |
17,714 |
$302K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,290 |
2,288 |
$164K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,189 |
2,189 |
$156K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,809 |
1,799 |
$120K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,426 |
1,426 |
$116K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,049 |
2,030 |
$83K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,734 |
4,692 |
$67K |
| 99072 |
|
7,692 |
7,301 |
$45K |
| 92551 |
|
5,216 |
5,211 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,786 |
888 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,781 |
1,780 |
$13K |
| 99173 |
|
6,955 |
6,954 |
$8K |
| 96160 |
|
5,188 |
5,186 |
$8K |
| 99051 |
|
1,053 |
1,026 |
$8K |
| 99215 |
Prolong outpt/office vis |
64 |
64 |
$7K |
| 92552 |
|
184 |
184 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
118 |
116 |
$5K |
| 96127 |
|
224 |
224 |
$1K |
| 0071A |
|
28 |
28 |
$1K |
| 83655 |
|
94 |
94 |
$1K |
| 90686 |
|
2,328 |
2,326 |
$727.05 |
| 0072A |
|
13 |
13 |
$569.48 |
| 92567 |
|
31 |
27 |
$356.60 |
| 90670 |
|
501 |
501 |
$267.75 |
| 81003 |
|
110 |
108 |
$249.22 |
| 85018 |
|
100 |
100 |
$231.96 |
| 90461 |
|
2,936 |
2,935 |
$193.21 |
| 90680 |
|
181 |
181 |
$124.95 |
| 96161 |
|
121 |
120 |
$95.21 |
| 81002 |
|
26 |
26 |
$69.42 |
| 90656 |
|
140 |
140 |
$21.18 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| 90677 |
|
238 |
238 |
$0.00 |
| 90697 |
|
68 |
68 |
$0.00 |
| 94760 |
|
40 |
39 |
$0.00 |
| 90619 |
|
26 |
26 |
$0.00 |