| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,497 |
3,009 |
$138K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
599 |
546 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
435 |
374 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
378 |
364 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
298 |
283 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
153 |
146 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,236 |
999 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
388 |
371 |
$6K |
| 90670 |
|
423 |
273 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
257 |
130 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
161 |
155 |
$1K |
| 99381 |
|
12 |
12 |
$901.41 |
| 90461 |
|
813 |
528 |
$468.07 |
| 90686 |
|
124 |
121 |
$359.40 |
| 83655 |
|
36 |
29 |
$136.21 |
| 85018 |
|
65 |
57 |
$46.18 |
| 92551 |
|
819 |
603 |
$43.41 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
69 |
49 |
$25.00 |
| 81003 |
|
15 |
15 |
$10.10 |
| 99173 |
|
862 |
641 |
$0.00 |
| 90707 |
|
27 |
12 |
$0.00 |
| 90633 |
|
211 |
161 |
$0.00 |
| 90710 |
|
78 |
66 |
$0.00 |
| 90672 |
|
16 |
16 |
$0.00 |
| 90715 |
|
19 |
18 |
$0.00 |
| 90698 |
|
323 |
181 |
$0.00 |
| 90696 |
|
70 |
61 |
$0.00 |
| 90680 |
|
247 |
157 |
$0.00 |
| 90716 |
|
25 |
24 |
$0.00 |
| 90697 |
|
69 |
56 |
$0.00 |
| 90744 |
|
57 |
34 |
$0.00 |
| 90651 |
|
17 |
17 |
$0.00 |