| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,145 |
3,694 |
$157K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
886 |
867 |
$85K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
828 |
753 |
$74K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
549 |
521 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
419 |
393 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
132 |
131 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
177 |
166 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,194 |
1,134 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
314 |
147 |
$4K |
| 90677 |
|
43 |
42 |
$2K |
| 87430 |
|
193 |
186 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
150 |
146 |
$503.77 |
| 90670 |
|
149 |
148 |
$370.00 |
| 90647 |
|
121 |
118 |
$293.00 |
| 90686 |
|
19 |
19 |
$259.48 |
| 96127 |
|
78 |
78 |
$116.99 |
| 97802 |
|
173 |
172 |
$73.32 |
| 3008F |
|
601 |
585 |
$0.00 |
| 90680 |
|
14 |
13 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |