| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,717 |
4,796 |
$420K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
377 |
367 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,248 |
2,195 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
330 |
330 |
$26K |
| 87428 |
|
645 |
620 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
226 |
226 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
170 |
170 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
159 |
150 |
$12K |
| 92551 |
|
1,352 |
1,350 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,410 |
1,391 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
930 |
902 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
77 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
251 |
239 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
119 |
114 |
$4K |
| 99384 |
|
34 |
34 |
$4K |
| 99383 |
|
28 |
28 |
$3K |
| 87184 |
|
505 |
483 |
$2K |
| 87081 |
|
528 |
506 |
$2K |
| 90461 |
|
367 |
367 |
$2K |
| 81003 |
|
1,074 |
1,057 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 99402 |
|
201 |
201 |
$1K |
| 99403 |
|
135 |
135 |
$1K |
| 99173 |
|
1,194 |
1,182 |
$773.10 |
| 96160 |
|
376 |
375 |
$720.68 |
| 81000 |
|
168 |
164 |
$624.60 |
| 96127 |
|
89 |
88 |
$318.53 |
| 90661 |
|
16 |
16 |
$223.04 |
| 90656 |
|
49 |
49 |
$111.75 |
| 90686 |
|
88 |
84 |
$22.65 |
| 99401 |
|
202 |
202 |
$0.00 |
| 99000 |
|
873 |
814 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |