| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,177 |
4,417 |
$275K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,836 |
1,695 |
$150K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,500 |
1,362 |
$57K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
584 |
574 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
541 |
533 |
$48K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,793 |
1,716 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,509 |
1,468 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
340 |
297 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
234 |
231 |
$23K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
306 |
284 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
571 |
533 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
923 |
878 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
282 |
275 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
679 |
632 |
$7K |
| 90686 |
|
926 |
876 |
$4K |
| 90461 |
|
333 |
325 |
$4K |
| 96160 |
|
2,103 |
2,036 |
$3K |
| 99383 |
|
42 |
42 |
$3K |
| 96127 |
|
772 |
749 |
$3K |
| 99173 |
|
1,355 |
1,320 |
$2K |
| 90670 |
|
49 |
42 |
$815.09 |
| 90700 |
|
232 |
214 |
$757.20 |
| 90713 |
|
126 |
114 |
$551.96 |
| 90734 |
|
17 |
17 |
$288.36 |
| 90648 |
|
84 |
76 |
$135.10 |
| 90633 |
|
12 |
12 |
$110.76 |
| 90715 |
|
13 |
13 |
$100.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$22.56 |
| 96161 |
|
14 |
12 |
$21.00 |
| 99072 |
|
19 |
19 |
$0.00 |