| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,804 |
7,132 |
$140K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,179 |
1,164 |
$104K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,015 |
982 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
855 |
839 |
$72K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,795 |
2,385 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,522 |
1,435 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
417 |
367 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
418 |
370 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,365 |
1,302 |
$12K |
| 90461 |
|
846 |
714 |
$5K |
| 0071A |
|
29 |
24 |
$1K |
| 0072A |
|
20 |
20 |
$720.00 |
| 92551 |
|
253 |
251 |
$274.83 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
169 |
166 |
$209.14 |
| 99051 |
|
14 |
14 |
$82.15 |
| 96161 |
|
49 |
49 |
$73.23 |
| 90686 |
|
1,064 |
1,048 |
$19.34 |
| 90734 |
|
142 |
142 |
$0.00 |
| 99173 |
|
340 |
334 |
$0.00 |
| 90707 |
|
67 |
65 |
$0.00 |
| 90670 |
|
289 |
282 |
$0.00 |
| 90648 |
|
125 |
123 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90633 |
|
31 |
30 |
$0.00 |
| 91300 |
|
15 |
14 |
$0.00 |
| 90651 |
|
217 |
214 |
$0.00 |
| 96127 |
|
809 |
791 |
$0.00 |
| 91307 |
|
59 |
55 |
$0.00 |
| 90716 |
|
70 |
68 |
$0.00 |
| 90688 |
|
29 |
29 |
$0.00 |
| 90723 |
|
15 |
12 |
$0.00 |