| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,764 |
10,108 |
$421K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,176 |
6,697 |
$412K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,575 |
4,441 |
$143K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,043 |
1,017 |
$134K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,173 |
1,149 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
863 |
842 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
741 |
728 |
$41K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,743 |
1,686 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,172 |
3,058 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
440 |
433 |
$24K |
| 99050 |
|
708 |
681 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
842 |
414 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
451 |
431 |
$9K |
| 96127 |
|
1,581 |
1,274 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
484 |
377 |
$4K |
| 92551 |
|
519 |
513 |
$3K |
| 99173 |
|
808 |
799 |
$2K |
| 99381 |
|
16 |
16 |
$1K |
| 90686 |
|
1,701 |
1,639 |
$550.51 |
| 90670 |
|
682 |
676 |
$512.03 |
| 90633 |
|
164 |
162 |
$64.59 |
| 85018 |
|
16 |
16 |
$29.92 |
| 90688 |
|
244 |
234 |
$21.96 |
| 90698 |
|
553 |
550 |
$3.87 |
| 90680 |
|
377 |
374 |
$2.36 |
| 90744 |
|
159 |
157 |
$1.02 |
| 90685 |
|
17 |
12 |
$0.00 |
| 94760 |
|
38 |
35 |
$0.00 |
| 90697 |
|
14 |
13 |
$0.00 |