| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,380 |
28,475 |
$3.06M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,675 |
3,657 |
$342K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,495 |
3,241 |
$302K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,067 |
3,056 |
$285K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,328 |
1,327 |
$135K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,169 |
8,066 |
$70K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,653 |
2,305 |
$37K |
| 99051 |
|
5,453 |
5,075 |
$28K |
| 87081 |
|
7,584 |
6,826 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,592 |
7,610 |
$22K |
| 92587 |
|
755 |
752 |
$18K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
292 |
282 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,034 |
982 |
$10K |
| 83655 |
|
714 |
714 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
40 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$3K |
| 99381 |
|
26 |
26 |
$3K |
| 96127 |
|
521 |
521 |
$2K |
| 99050 |
|
327 |
307 |
$2K |
| 85018 |
|
1,182 |
1,181 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$466.90 |
| 87634 |
|
30 |
27 |
$422.10 |
| 90461 |
|
265 |
249 |
$55.00 |
| 96161 |
|
14 |
14 |
$32.40 |
| 90672 |
|
1,185 |
1,185 |
$29.25 |
| 99173 |
|
796 |
782 |
$0.00 |
| 90710 |
|
863 |
863 |
$0.00 |
| 90648 |
|
1,367 |
1,363 |
$0.00 |
| 90700 |
|
194 |
193 |
$0.00 |
| 90670 |
|
1,817 |
1,812 |
$0.00 |
| 90715 |
|
217 |
217 |
$0.00 |
| 90734 |
|
374 |
374 |
$0.00 |
| 90633 |
|
371 |
370 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
196 |
196 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90697 |
|
745 |
741 |
$0.00 |
| 90686 |
|
2,174 |
2,163 |
$0.00 |
| 90723 |
|
1,060 |
1,057 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
225 |
220 |
$0.00 |
| 90696 |
|
221 |
221 |
$0.00 |
| 97802 |
|
1,441 |
1,393 |
$0.00 |
| 90677 |
|
448 |
448 |
$0.00 |