| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,672 |
11,842 |
$921K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,837 |
7,578 |
$873K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,113 |
14,271 |
$442K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,852 |
3,411 |
$392K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,250 |
2,002 |
$228K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,055 |
1,828 |
$195K |
| 96127 |
|
12,373 |
6,330 |
$136K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,167 |
5,684 |
$115K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,435 |
2,173 |
$103K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
993 |
839 |
$100K |
| 99173 |
|
5,474 |
4,910 |
$35K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
926 |
878 |
$29K |
| 36416 |
|
8,714 |
7,828 |
$26K |
| 92551 |
|
4,576 |
4,144 |
$26K |
| 99070 |
|
663 |
614 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,044 |
894 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
645 |
387 |
$6K |
| 99177 |
|
160 |
148 |
$3K |
| 90686 |
|
6,556 |
6,051 |
$862.74 |
| 92583 |
|
37 |
32 |
$713.00 |
| 83655 |
|
55 |
53 |
$566.44 |
| 96160 |
|
21 |
20 |
$401.76 |
| 87807 |
|
14 |
14 |
$160.30 |
| 85018 |
|
8,821 |
7,914 |
$97.18 |
| 99072 |
|
527 |
461 |
$0.00 |
| 90670 |
|
793 |
739 |
$0.00 |
| 90685 |
|
14 |
13 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 99001 |
|
14 |
12 |
$0.00 |
| 90671 |
|
101 |
98 |
$0.00 |
| 90734 |
|
30 |
27 |
$0.00 |
| 90698 |
|
894 |
822 |
$0.00 |
| 90680 |
|
166 |
158 |
$0.00 |
| 90656 |
|
988 |
772 |
$0.00 |
| 90744 |
|
38 |
37 |
$0.00 |
| 99000 |
|
103 |
102 |
$0.00 |
| 0092A |
|
13 |
13 |
$0.00 |
| 91309 |
|
13 |
13 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |