| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,330 |
1,903 |
$180K |
| 96127 |
|
1,168 |
1,052 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
209 |
200 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
218 |
201 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
191 |
142 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
160 |
151 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
697 |
658 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
163 |
147 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
129 |
117 |
$15K |
| 99174 |
|
791 |
739 |
$14K |
| 92558 |
|
585 |
545 |
$13K |
| 99050 |
|
866 |
793 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
243 |
239 |
$13K |
| 96160 |
|
583 |
539 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
341 |
319 |
$8K |
| 99188 |
|
290 |
275 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
136 |
126 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
18 |
18 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
45 |
39 |
$893.10 |
| 87634 |
|
14 |
14 |
$804.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
16 |
$197.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$137.40 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
16 |
$14.70 |
| 90671 |
|
60 |
54 |
$0.00 |
| 90633 |
|
19 |
18 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90672 |
|
308 |
304 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90651 |
|
59 |
56 |
$0.00 |
| 90698 |
|
62 |
55 |
$0.00 |