| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,216 |
9,321 |
$578K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,239 |
6,185 |
$267K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,709 |
2,689 |
$222K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,821 |
2,778 |
$211K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,828 |
1,825 |
$154K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,803 |
1,795 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
425 |
417 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
273 |
272 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
736 |
722 |
$10K |
| 99460 |
|
69 |
69 |
$5K |
| 99381 |
|
57 |
55 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
44 |
44 |
$2K |
| 99173 |
|
1,294 |
1,248 |
$2K |
| 96127 |
|
413 |
410 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
111 |
111 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$915.84 |
| 96160 |
|
321 |
318 |
$885.91 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$437.30 |
| 99188 |
|
20 |
20 |
$161.69 |
| 90670 |
|
1,702 |
1,592 |
$22.49 |
| 90744 |
|
768 |
723 |
$16.62 |
| 90700 |
|
405 |
372 |
$15.58 |
| 90633 |
|
560 |
526 |
$10.10 |
| 90698 |
|
1,249 |
1,161 |
$6.91 |
| 90716 |
|
407 |
381 |
$0.00 |
| 90680 |
|
1,097 |
1,017 |
$0.00 |
| 90686 |
|
951 |
877 |
$0.00 |
| 90656 |
|
27 |
16 |
$0.00 |
| 90707 |
|
425 |
397 |
$0.00 |
| 90648 |
|
31 |
26 |
$0.00 |
| 90685 |
|
64 |
63 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |