| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,334 |
6,545 |
$302K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,407 |
2,344 |
$133K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,271 |
4,162 |
$95K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,322 |
1,309 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,172 |
1,156 |
$66K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,304 |
3,247 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
777 |
769 |
$40K |
| 92551 |
|
2,667 |
2,626 |
$24K |
| 90461 |
|
1,160 |
1,121 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
305 |
300 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
981 |
951 |
$10K |
| 99188 |
|
464 |
458 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
204 |
200 |
$10K |
| 3008F |
|
786 |
779 |
$7K |
| 99173 |
|
2,335 |
2,298 |
$5K |
| 96127 |
|
1,413 |
1,387 |
$3K |
| 90686 |
|
1,031 |
1,009 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
54 |
52 |
$2K |
| 99050 |
|
125 |
124 |
$2K |
| 90734 |
|
40 |
40 |
$975.40 |
| 90619 |
|
25 |
24 |
$661.12 |
| 90651 |
|
110 |
107 |
$470.71 |
| 90656 |
|
100 |
100 |
$377.08 |
| 90707 |
|
25 |
24 |
$230.52 |
| 90670 |
|
54 |
49 |
$226.43 |
| 90633 |
|
39 |
39 |
$186.45 |
| 90671 |
|
13 |
13 |
$0.00 |
| 99080 |
|
27 |
25 |
$0.00 |