| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,428 |
2,034 |
$128K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
459 |
453 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
380 |
352 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
279 |
263 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,217 |
1,110 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
113 |
105 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
558 |
344 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
67 |
63 |
$5K |
| 90686 |
|
425 |
415 |
$5K |
| 90670 |
|
316 |
301 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
106 |
98 |
$3K |
| 90685 |
|
99 |
99 |
$1K |
| 90680 |
|
83 |
82 |
$902.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,450 |
1,315 |
$683.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
77 |
54 |
$622.99 |
| 90651 |
|
17 |
16 |
$588.22 |
| 90698 |
|
43 |
40 |
$525.14 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$373.08 |
| 90648 |
|
33 |
33 |
$363.00 |
| 90633 |
|
27 |
25 |
$337.85 |
| 92551 |
|
26 |
24 |
$217.26 |
| 90461 |
|
610 |
564 |
$210.80 |
| 96160 |
|
89 |
87 |
$199.88 |
| 90715 |
|
12 |
12 |
$173.32 |
| 90734 |
|
14 |
14 |
$154.00 |
| 99173 |
|
65 |
58 |
$143.26 |
| 90723 |
|
12 |
12 |
$132.00 |
| 96127 |
|
15 |
14 |
$78.45 |
| 99000 |
|
20 |
14 |
$58.88 |
| 96161 |
|
23 |
20 |
$52.60 |
| 81001 |
|
12 |
12 |
$36.41 |
| 97802 |
|
30 |
27 |
$30.64 |
| 99051 |
|
97 |
95 |
$0.00 |