| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,891 |
15,671 |
$642K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,679 |
4,328 |
$343K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,856 |
3,665 |
$306K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,694 |
3,268 |
$246K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,785 |
2,645 |
$239K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24,018 |
9,750 |
$230K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,270 |
2,089 |
$110K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,390 |
2,253 |
$91K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,196 |
2,000 |
$57K |
| 99381 |
|
600 |
507 |
$33K |
| 90461 |
|
5,750 |
4,723 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,657 |
1,579 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,520 |
1,465 |
$12K |
| 92587 |
|
702 |
653 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
564 |
533 |
$10K |
| 92015 |
Determination of refractive state |
619 |
594 |
$8K |
| 90670 |
|
2,857 |
2,615 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
690 |
630 |
$4K |
| 87428 |
|
65 |
65 |
$4K |
| 90686 |
|
2,966 |
2,725 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
49 |
46 |
$3K |
| 87807 |
|
281 |
240 |
$3K |
| 99460 |
|
34 |
33 |
$3K |
| 90723 |
|
2,266 |
2,087 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
89 |
71 |
$2K |
| 90681 |
|
505 |
438 |
$2K |
| 90716 |
|
1,441 |
1,360 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
25 |
$1K |
| 90649 |
|
178 |
171 |
$1K |
| 90707 |
|
1,393 |
1,313 |
$974.70 |
| 99050 |
|
64 |
63 |
$941.22 |
| 90648 |
|
2,994 |
2,756 |
$898.99 |
| 92588 |
|
174 |
171 |
$850.50 |
| 90633 |
|
2,233 |
2,069 |
$751.37 |
| 90700 |
|
1,389 |
1,303 |
$731.50 |
| 90734 |
|
768 |
741 |
$288.96 |
| 90713 |
|
273 |
266 |
$121.63 |
| 90715 |
|
268 |
260 |
$1.00 |
| 90671 |
|
145 |
143 |
$0.01 |
| 90661 |
|
68 |
67 |
$0.00 |
| 90680 |
|
282 |
269 |
$0.00 |
| 90660 |
|
52 |
44 |
$0.00 |
| 90656 |
|
107 |
107 |
$0.00 |
| 36416 |
|
26 |
26 |
$0.00 |
| 90620 |
|
50 |
50 |
$0.00 |
| 90651 |
|
17 |
14 |
$0.00 |
| 90677 |
|
15 |
15 |
$0.00 |