| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,053 |
12,862 |
$856K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,785 |
6,219 |
$605K |
| 87428 |
|
1,853 |
1,791 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,106 |
1,081 |
$71K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,076 |
1,008 |
$69K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,367 |
4,185 |
$57K |
| 99215 |
Prolong outpt/office vis |
491 |
456 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,270 |
684 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
600 |
575 |
$35K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
686 |
665 |
$32K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
796 |
764 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,021 |
922 |
$20K |
| 90461 |
|
308 |
277 |
$16K |
| 90686 |
|
366 |
361 |
$7K |
| 90670 |
|
334 |
326 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
101 |
99 |
$6K |
| 90723 |
|
253 |
251 |
$5K |
| 96127 |
|
1,353 |
1,281 |
$5K |
| 90648 |
|
252 |
250 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
153 |
148 |
$2K |
| 92567 |
|
137 |
118 |
$2K |
| 87807 |
|
155 |
148 |
$2K |
| 90656 |
|
72 |
72 |
$1K |
| 90680 |
|
38 |
38 |
$752.02 |
| 90633 |
|
37 |
36 |
$692.65 |
| 90677 |
|
28 |
28 |
$554.12 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
25 |
$475.00 |
| 90697 |
|
12 |
12 |
$237.48 |
| 99000 |
|
57 |
51 |
$0.00 |
| 99080 |
|
1,737 |
1,645 |
$0.00 |