| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,634 |
9,808 |
$407K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,115 |
2,954 |
$177K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,505 |
1,443 |
$138K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,003 |
916 |
$86K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,204 |
2,149 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
410 |
395 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,851 |
890 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,233 |
2,143 |
$21K |
| 92551 |
|
3,221 |
3,093 |
$20K |
| 99173 |
|
2,799 |
2,700 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,103 |
4,621 |
$7K |
| 90688 |
|
253 |
238 |
$4K |
| 90698 |
|
1,040 |
996 |
$3K |
| 90670 |
|
792 |
776 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$2K |
| 90633 |
|
544 |
508 |
$2K |
| 90686 |
|
1,064 |
1,036 |
$2K |
| 90687 |
|
120 |
120 |
$2K |
| 90680 |
|
543 |
533 |
$2K |
| 99051 |
|
95 |
90 |
$2K |
| 87807 |
|
113 |
112 |
$1K |
| 96160 |
|
527 |
504 |
$1K |
| 99188 |
|
85 |
76 |
$1K |
| 0072A |
|
27 |
27 |
$1K |
| 99177 |
|
89 |
74 |
$940.50 |
| 0071A |
|
24 |
24 |
$792.00 |
| 90744 |
|
309 |
265 |
$716.00 |
| 90651 |
|
287 |
279 |
$680.00 |
| 96127 |
|
452 |
422 |
$537.30 |
| 90734 |
|
66 |
55 |
$530.00 |
| 90707 |
|
29 |
29 |
$290.00 |
| 90716 |
|
28 |
28 |
$280.00 |
| 90461 |
|
1,561 |
1,348 |
$246.35 |
| 90696 |
|
51 |
36 |
$242.00 |
| 90715 |
|
98 |
97 |
$150.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
12 |
$123.04 |
| 90710 |
|
76 |
62 |
$120.00 |
| 90677 |
|
203 |
195 |
$40.00 |
| 90619 |
|
293 |
277 |
$20.00 |
| 3008F |
|
5,288 |
4,724 |
$0.00 |
| 90656 |
|
176 |
175 |
$0.00 |
| 36416 |
|
144 |
118 |
$0.00 |
| 99000 |
|
66 |
51 |
$0.00 |
| 87428 |
|
12 |
12 |
$0.00 |
| 91307 |
|
184 |
136 |
$0.00 |
| 90660 |
|
13 |
13 |
$0.00 |
| 99072 |
|
3,743 |
3,531 |
$0.00 |
| 90672 |
|
12 |
12 |
$0.00 |
| 99499 |
|
15 |
14 |
$0.00 |