| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,805 |
6,861 |
$342K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,090 |
2,806 |
$200K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
580 |
527 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
551 |
449 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
482 |
428 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,918 |
1,587 |
$39K |
| 99051 |
|
2,005 |
1,766 |
$39K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
363 |
349 |
$14K |
| 92551 |
|
2,052 |
1,981 |
$9K |
| 99174 |
|
2,747 |
2,582 |
$7K |
| 90734 |
|
156 |
132 |
$6K |
| 90686 |
|
971 |
943 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
66 |
64 |
$6K |
| 90461 |
|
137 |
104 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
228 |
198 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
953 |
861 |
$2K |
| 96127 |
|
645 |
624 |
$2K |
| 99173 |
|
200 |
175 |
$1K |
| 83655 |
|
305 |
297 |
$518.75 |
| WA061 |
|
14 |
12 |
$245.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
16 |
16 |
$233.30 |
| 90671 |
|
322 |
322 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
42 |
$0.00 |
| 96160 |
|
129 |
129 |
$0.00 |
| 90710 |
|
78 |
78 |
$0.00 |
| 90715 |
|
71 |
69 |
$0.00 |
| 90670 |
|
99 |
99 |
$0.00 |
| 90633 |
|
29 |
28 |
$0.00 |
| 3008F |
|
680 |
662 |
$0.00 |
| 90723 |
|
241 |
235 |
$0.00 |
| 90680 |
|
169 |
165 |
$0.00 |
| 90647 |
|
171 |
167 |
$0.00 |
| 90381 |
|
13 |
13 |
$0.00 |
| 90651 |
|
129 |
123 |
$0.00 |
| 90656 |
|
298 |
298 |
$0.00 |
| 90696 |
|
27 |
27 |
$0.00 |
| 90620 |
|
15 |
15 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |