| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,080 |
10,284 |
$777K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,731 |
3,731 |
$340K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,283 |
3,232 |
$319K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,478 |
3,452 |
$300K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,975 |
5,948 |
$229K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,809 |
1,809 |
$160K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
559 |
559 |
$54K |
| 99381 |
|
350 |
350 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,855 |
2,375 |
$24K |
| 92551 |
|
2,405 |
2,403 |
$23K |
| 96127 |
|
3,724 |
3,329 |
$16K |
| 83655 |
|
1,409 |
1,404 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
409 |
398 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
484 |
478 |
$14K |
| 99383 |
|
111 |
111 |
$11K |
| 99382 |
|
95 |
95 |
$10K |
| 96161 |
|
1,819 |
1,809 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
467 |
466 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
79 |
79 |
$6K |
| 99173 |
|
2,265 |
2,265 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
52 |
$5K |
| 85018 |
|
1,545 |
1,543 |
$3K |
| 87634 |
|
50 |
49 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
163 |
161 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
58 |
57 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
69 |
68 |
$2K |
| 87807 |
|
143 |
140 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
33 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
18 |
$877.32 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
16 |
$32.11 |
| 36416 |
|
12 |
12 |
$29.37 |
| 90686 |
|
456 |
456 |
$22.15 |
| 90671 |
|
299 |
299 |
$1.00 |
| 90656 |
|
60 |
60 |
$0.07 |
| 90698 |
|
1,133 |
1,133 |
$0.00 |
| 90680 |
|
464 |
464 |
$0.00 |
| 90697 |
|
307 |
307 |
$0.00 |
| 90744 |
|
456 |
456 |
$0.00 |
| 90716 |
|
152 |
152 |
$0.00 |
| 90651 |
|
109 |
109 |
$0.00 |
| 90696 |
|
103 |
103 |
$0.00 |
| 90619 |
|
56 |
56 |
$0.00 |
| 90674 |
|
64 |
64 |
$0.00 |
| 90670 |
|
1,392 |
1,392 |
$0.00 |
| 90633 |
|
852 |
852 |
$0.00 |
| 90707 |
|
67 |
67 |
$0.00 |
| 90681 |
|
296 |
296 |
$0.00 |
| 90710 |
|
223 |
223 |
$0.00 |
| 90715 |
|
73 |
73 |
$0.00 |
| 96160 |
|
142 |
142 |
$0.00 |
| 99072 |
|
191 |
188 |
$0.00 |
| 90672 |
|
39 |
39 |
$0.00 |
| 90734 |
|
47 |
47 |
$0.00 |