| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,579 |
30,730 |
$2.05M |
| T1015 |
Clinic visit/encounter, all-inclusive |
10,758 |
9,153 |
$957K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,077 |
4,045 |
$314K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,786 |
2,778 |
$239K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,926 |
2,893 |
$224K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,163 |
2,155 |
$206K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,822 |
4,808 |
$192K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,241 |
1,218 |
$106K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,660 |
3,473 |
$56K |
| 99188 |
|
3,139 |
3,136 |
$48K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
702 |
670 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,077 |
1,002 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,335 |
3,303 |
$18K |
| 96127 |
|
2,662 |
2,645 |
$18K |
| 90461 |
|
365 |
365 |
$12K |
| 87807 |
|
59 |
59 |
$736.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$257.39 |
| 81002 |
|
62 |
61 |
$180.10 |
| 85018 |
|
54 |
54 |
$137.50 |
| 90672 |
|
12 |
12 |
$22.58 |
| 90686 |
|
741 |
740 |
$16.42 |
| 90619 |
|
83 |
83 |
$0.00 |
| 90677 |
|
160 |
148 |
$0.00 |
| 90680 |
|
95 |
95 |
$0.00 |
| 90698 |
|
311 |
298 |
$0.00 |
| 90716 |
|
201 |
201 |
$0.00 |
| 90744 |
|
88 |
88 |
$0.00 |
| 90651 |
|
142 |
142 |
$0.00 |
| 94760 |
|
26 |
26 |
$0.00 |
| 90670 |
|
936 |
935 |
$0.00 |
| 90715 |
|
164 |
164 |
$0.00 |
| 90700 |
|
259 |
258 |
$0.00 |
| 90633 |
|
394 |
393 |
$0.00 |
| 90734 |
|
200 |
200 |
$0.00 |
| 90713 |
|
66 |
66 |
$0.00 |
| 90710 |
|
52 |
52 |
$0.00 |
| 90685 |
|
36 |
36 |
$0.00 |
| 90707 |
|
99 |
99 |
$0.00 |