| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,474 |
1,849 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
598 |
594 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
546 |
532 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,434 |
1,109 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
443 |
435 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,806 |
1,562 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
402 |
374 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
235 |
221 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,260 |
1,237 |
$10K |
| 90461 |
|
2,567 |
780 |
$10K |
| 99429 |
|
208 |
207 |
$6K |
| 99381 |
|
85 |
77 |
$6K |
| 92587 |
|
711 |
676 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
115 |
111 |
$4K |
| 92551 |
|
207 |
206 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
114 |
110 |
$1K |
| 87807 |
|
132 |
123 |
$1K |
| 99384 |
|
16 |
16 |
$1K |
| 99383 |
|
13 |
12 |
$724.56 |
| 81002 |
|
159 |
154 |
$450.93 |
| 81003 |
|
127 |
118 |
$254.86 |
| 81025 |
|
12 |
12 |
$73.30 |
| 90744 |
|
204 |
202 |
$0.02 |
| 90680 |
|
338 |
334 |
$0.02 |
| 90670 |
|
500 |
496 |
$0.02 |
| 90651 |
|
127 |
123 |
$0.01 |
| 90734 |
|
61 |
59 |
$0.01 |
| 90715 |
|
14 |
14 |
$0.01 |
| 90698 |
|
294 |
290 |
$0.00 |
| 90686 |
|
617 |
610 |
$0.00 |
| 96127 |
|
125 |
125 |
$0.00 |
| 90716 |
|
39 |
39 |
$0.00 |
| 90696 |
|
27 |
25 |
$0.00 |
| 90633 |
|
183 |
183 |
$0.00 |
| 90648 |
|
99 |
99 |
$0.00 |
| 99173 |
|
560 |
542 |
$0.00 |
| 90710 |
|
39 |
37 |
$0.00 |
| 90700 |
|
72 |
72 |
$0.00 |
| 90707 |
|
38 |
38 |
$0.00 |