| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,507 |
2,303 |
$215K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,897 |
2,689 |
$152K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,366 |
1,319 |
$148K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,109 |
966 |
$99K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
755 |
742 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
282 |
275 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,165 |
3,001 |
$30K |
| 90686 |
|
1,277 |
1,213 |
$28K |
| 96127 |
|
3,292 |
3,157 |
$15K |
| 90670 |
|
442 |
415 |
$9K |
| 90677 |
|
148 |
133 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
44 |
$6K |
| 99174 |
|
962 |
919 |
$6K |
| 90723 |
|
228 |
206 |
$5K |
| 90647 |
|
226 |
203 |
$4K |
| 90656 |
|
143 |
142 |
$3K |
| 90381 |
|
14 |
13 |
$3K |
| 99173 |
|
1,095 |
1,066 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
186 |
174 |
$3K |
| 90633 |
|
58 |
53 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
27 |
$1K |
| 90734 |
|
44 |
42 |
$1K |
| 90661 |
|
33 |
33 |
$880.54 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
20 |
19 |
$744.84 |
| 90651 |
|
30 |
30 |
$698.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
26 |
$563.38 |
| 81002 |
|
241 |
231 |
$525.23 |
| 90680 |
|
13 |
13 |
$302.64 |
| 90710 |
|
14 |
12 |
$279.36 |
| 94760 |
|
173 |
160 |
$265.03 |
| 90700 |
|
14 |
12 |
$256.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$170.82 |
| 96161 |
|
90 |
74 |
$130.75 |
| 81003 |
|
27 |
26 |
$46.20 |
| 90461 |
|
144 |
137 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
392 |
364 |
$0.00 |