| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,643 |
2,407 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
846 |
845 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
850 |
810 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
730 |
727 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
442 |
441 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
397 |
384 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
740 |
362 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
225 |
221 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
185 |
178 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
206 |
196 |
$6K |
| G0008 |
Administration of influenza virus vaccine |
510 |
509 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
297 |
294 |
$4K |
| 90670 |
|
549 |
547 |
$3K |
| 90698 |
|
469 |
467 |
$3K |
| 90680 |
|
350 |
348 |
$2K |
| 96161 |
|
520 |
507 |
$2K |
| 90633 |
|
169 |
164 |
$1K |
| 99173 |
|
651 |
648 |
$1K |
| 90744 |
|
164 |
164 |
$1K |
| 92551 |
|
628 |
625 |
$1K |
| 90651 |
|
92 |
90 |
$704.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
94 |
$653.24 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
518 |
511 |
$557.85 |
| 90716 |
|
28 |
27 |
$308.00 |
| 96127 |
|
354 |
352 |
$277.20 |
| 90734 |
|
46 |
46 |
$264.00 |
| 90707 |
|
17 |
16 |
$187.00 |
| 96160 |
|
440 |
438 |
$61.28 |
| 90686 |
|
79 |
79 |
$0.00 |
| 85018 |
|
25 |
25 |
$0.00 |
| 90697 |
|
18 |
18 |
$0.00 |
| 83655 |
|
96 |
96 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |