| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,211 |
5,527 |
$443K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,193 |
3,769 |
$388K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,715 |
1,662 |
$158K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,801 |
1,458 |
$157K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,345 |
1,301 |
$125K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
933 |
899 |
$93K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,375 |
4,150 |
$91K |
| 90461 |
|
1,920 |
1,809 |
$64K |
| 92587 |
|
1,016 |
993 |
$54K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
665 |
627 |
$29K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
887 |
850 |
$27K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
309 |
299 |
$20K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
15 |
15 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
646 |
626 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
230 |
218 |
$5K |
| 87634 |
|
112 |
104 |
$5K |
| 96127 |
|
1,260 |
1,223 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
28 |
$3K |
| 99050 |
|
101 |
94 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
284 |
268 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
79 |
76 |
$968.14 |
| 99051 |
|
32 |
27 |
$800.00 |
| 83655 |
|
12 |
12 |
$205.14 |
| 90686 |
|
251 |
250 |
$2.46 |
| 90670 |
|
29 |
15 |
$0.28 |
| 90647 |
|
26 |
13 |
$0.26 |
| 90633 |
|
26 |
13 |
$0.26 |