| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,338 |
7,408 |
$526K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,967 |
3,889 |
$151K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,287 |
1,263 |
$120K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,179 |
1,156 |
$110K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
915 |
883 |
$80K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
680 |
667 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
228 |
222 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,100 |
1,088 |
$19K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
502 |
484 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
277 |
271 |
$14K |
| 86403 |
|
529 |
521 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
238 |
236 |
$4K |
| 81002 |
|
1,010 |
987 |
$3K |
| 81000 |
|
530 |
519 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
42 |
$2K |
| 87081 |
|
201 |
197 |
$2K |
| 90686 |
|
1,094 |
1,066 |
$439.30 |
| 87807 |
|
19 |
18 |
$252.83 |
| 90651 |
|
384 |
383 |
$204.87 |
| 94760 |
|
73 |
71 |
$175.14 |
| 90658 |
|
421 |
416 |
$123.20 |
| 85018 |
|
27 |
27 |
$75.00 |
| 90688 |
|
36 |
36 |
$16.99 |
| 90670 |
|
686 |
681 |
$10.00 |
| 90698 |
|
294 |
292 |
$0.00 |
| 90744 |
|
91 |
91 |
$0.00 |
| 90657 |
|
115 |
114 |
$0.00 |
| 90680 |
|
313 |
312 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |
| 90715 |
|
136 |
134 |
$0.00 |
| 90734 |
|
227 |
225 |
$0.00 |
| 90633 |
|
96 |
94 |
$0.00 |
| 90648 |
|
45 |
44 |
$0.00 |
| 90700 |
|
26 |
25 |
$0.00 |