| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,744 |
8,693 |
$581K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,348 |
2,242 |
$198K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,903 |
1,893 |
$144K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,633 |
1,621 |
$124K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,276 |
1,268 |
$106K |
| 92552 |
|
2,188 |
2,180 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
624 |
600 |
$46K |
| 90686 |
|
1,862 |
1,799 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,386 |
1,380 |
$22K |
| 92551 |
|
1,691 |
1,665 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,190 |
1,140 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,072 |
1,046 |
$16K |
| 90651 |
|
360 |
360 |
$16K |
| 90670 |
|
505 |
494 |
$14K |
| 96127 |
|
1,625 |
1,614 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
365 |
342 |
$9K |
| 0001A |
|
206 |
206 |
$8K |
| 0002A |
|
168 |
168 |
$7K |
| 99173 |
|
2,509 |
2,482 |
$6K |
| 90647 |
|
484 |
474 |
$6K |
| 99177 |
|
1,321 |
1,320 |
$6K |
| 90620 |
|
129 |
129 |
$5K |
| 90734 |
|
145 |
145 |
$5K |
| 90680 |
|
140 |
139 |
$3K |
| 90656 |
|
216 |
216 |
$3K |
| 90688 |
|
240 |
236 |
$3K |
| 96160 |
|
1,489 |
1,488 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
71 |
69 |
$3K |
| 99000 |
|
748 |
704 |
$2K |
| 90677 |
|
50 |
49 |
$2K |
| 90716 |
|
71 |
69 |
$2K |
| 86580 |
|
217 |
216 |
$2K |
| 90633 |
|
107 |
107 |
$1K |
| 90707 |
|
69 |
67 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
321 |
316 |
$1K |
| 94760 |
|
601 |
567 |
$1K |
| 0003A |
|
17 |
17 |
$680.00 |
| 90700 |
|
58 |
56 |
$645.86 |
| 90687 |
|
51 |
50 |
$574.75 |
| 2015F |
|
43 |
42 |
$370.00 |
| 90710 |
|
12 |
12 |
$346.03 |
| 96161 |
|
160 |
155 |
$293.08 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
21 |
$265.51 |
| 99050 |
|
40 |
20 |
$244.60 |
| 90715 |
|
13 |
13 |
$225.64 |
| 90723 |
|
13 |
13 |
$211.15 |
| 90713 |
|
15 |
15 |
$165.55 |
| 97802 |
|
101 |
101 |
$32.15 |