| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,117 |
1,989 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
735 |
731 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
548 |
537 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
550 |
529 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
318 |
292 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
203 |
179 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
693 |
336 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
152 |
150 |
$6K |
| 99188 |
|
279 |
276 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
172 |
167 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
302 |
293 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
308 |
307 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
255 |
250 |
$2K |
| 92551 |
|
1,033 |
1,023 |
$2K |
| 99173 |
|
999 |
984 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
14 |
12 |
$2K |
| 90686 |
|
107 |
103 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
27 |
$854.85 |
| 96161 |
|
68 |
67 |
$256.61 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
70 |
69 |
$119.27 |
| 96127 |
|
513 |
492 |
$97.90 |
| 96160 |
|
646 |
624 |
$49.79 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90670 |
|
31 |
30 |
$0.00 |
| 90697 |
|
40 |
40 |
$0.00 |
| 90677 |
|
28 |
28 |
$0.00 |
| 90680 |
|
38 |
38 |
$0.00 |
| 90619 |
|
20 |
20 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |