| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,549 |
7,545 |
$332K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,879 |
1,876 |
$155K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,316 |
1,311 |
$116K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,038 |
1,905 |
$110K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,561 |
4,806 |
$107K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
996 |
993 |
$80K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
665 |
663 |
$64K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,799 |
2,722 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,957 |
889 |
$28K |
| 99050 |
|
959 |
931 |
$15K |
| 92551 |
|
1,906 |
1,897 |
$9K |
| 90461 |
|
2,184 |
1,842 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
932 |
845 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
466 |
438 |
$6K |
| 0072A |
|
128 |
128 |
$5K |
| 0071A |
|
124 |
124 |
$5K |
| 96160 |
|
894 |
894 |
$2K |
| 0081A |
|
46 |
46 |
$2K |
| 0082A |
|
33 |
33 |
$1K |
| 0004A |
|
27 |
27 |
$1K |
| 0001A |
|
49 |
49 |
$686.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$602.49 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$595.03 |
| 0002A |
|
38 |
38 |
$532.00 |
| 0083A |
|
12 |
12 |
$480.00 |
| 87807 |
|
31 |
28 |
$284.35 |
| 90686 |
|
1,898 |
1,895 |
$0.61 |
| 90651 |
|
236 |
236 |
$0.06 |
| 90620 |
|
35 |
35 |
$0.01 |
| 99173 |
|
3,141 |
3,127 |
$0.00 |
| 90670 |
|
633 |
629 |
$0.00 |
| 90648 |
|
600 |
597 |
$0.00 |
| 90710 |
|
26 |
25 |
$0.00 |
| 90671 |
|
277 |
277 |
$0.00 |
| 90633 |
|
443 |
443 |
$0.00 |
| 90700 |
|
39 |
39 |
$0.00 |
| 91308 |
|
157 |
147 |
$0.00 |
| 90734 |
|
56 |
56 |
$0.00 |
| 91300 |
|
164 |
155 |
$0.00 |
| 90672 |
|
201 |
201 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90723 |
|
191 |
189 |
$0.00 |
| 90680 |
|
590 |
587 |
$0.00 |
| 90674 |
|
63 |
63 |
$0.00 |
| 90656 |
|
286 |
286 |
$0.00 |
| 91307 |
|
297 |
278 |
$0.00 |
| 90660 |
|
30 |
30 |
$0.00 |
| 90619 |
|
41 |
41 |
$0.00 |
| 90696 |
|
27 |
26 |
$0.00 |
| 90698 |
|
24 |
24 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |