| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,676 |
8,099 |
$747K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,043 |
4,723 |
$663K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,612 |
2,585 |
$330K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,901 |
1,770 |
$213K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,066 |
1,047 |
$129K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,481 |
5,434 |
$112K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
645 |
643 |
$82K |
| 83655 |
|
413 |
406 |
$12K |
| 99173 |
|
1,806 |
1,780 |
$10K |
| 99381 |
|
83 |
62 |
$9K |
| 99188 |
|
541 |
538 |
$9K |
| 85018 |
|
567 |
560 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,178 |
1,130 |
$4K |
| 90686 |
|
326 |
321 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
228 |
222 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,069 |
1,049 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
42 |
42 |
$1K |
| 96127 |
|
194 |
184 |
$977.37 |
| 92587 |
|
25 |
25 |
$855.90 |
| 87428 |
|
600 |
588 |
$633.15 |
| 87807 |
|
181 |
175 |
$452.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19 |
19 |
$261.50 |
| 81002 |
|
64 |
61 |
$116.26 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
55 |
54 |
$74.74 |
| 90461 |
|
163 |
163 |
$0.00 |