| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,306 |
4,988 |
$368K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,721 |
3,400 |
$181K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,255 |
1,213 |
$118K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,252 |
1,165 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
489 |
429 |
$36K |
| 94760 |
|
10,986 |
8,797 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
354 |
323 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
132 |
113 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
470 |
427 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
248 |
228 |
$2K |
| 90461 |
|
132 |
117 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
12 |
$812.55 |
| 87807 |
|
121 |
111 |
$693.20 |
| 36416 |
|
170 |
124 |
$450.19 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
53 |
51 |
$355.49 |
| 90670 |
|
709 |
661 |
$205.00 |
| 99173 |
|
470 |
422 |
$37.20 |
| 85018 |
|
15 |
15 |
$24.30 |
| 90686 |
|
981 |
871 |
$21.51 |
| 90677 |
|
80 |
78 |
$0.33 |
| 0001F |
|
1,693 |
1,566 |
$0.02 |
| 90648 |
|
778 |
716 |
$0.01 |
| 90723 |
|
399 |
360 |
$0.00 |
| 90716 |
|
31 |
30 |
$0.00 |
| 90680 |
|
105 |
94 |
$0.00 |
| 90656 |
|
60 |
59 |
$0.00 |
| 90681 |
|
65 |
60 |
$0.00 |
| 90707 |
|
32 |
31 |
$0.00 |
| 90633 |
|
28 |
27 |
$0.00 |