| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,177 |
2,671 |
$149K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,506 |
1,347 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,315 |
1,163 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
751 |
599 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
584 |
452 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
466 |
394 |
$36K |
| 96127 |
|
1,871 |
1,589 |
$33K |
| 90686 |
|
2,172 |
1,869 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
170 |
158 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
293 |
271 |
$7K |
| 90651 |
|
282 |
231 |
$6K |
| 0071A |
|
107 |
92 |
$5K |
| 90670 |
|
159 |
142 |
$3K |
| 0072A |
|
66 |
65 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
238 |
204 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
33 |
32 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
133 |
107 |
$2K |
| 0054A |
|
54 |
52 |
$2K |
| 90661 |
|
129 |
129 |
$2K |
| 90734 |
|
134 |
114 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
63 |
45 |
$2K |
| 90620 |
|
103 |
85 |
$2K |
| 91320 |
|
26 |
25 |
$1K |
| 90656 |
|
64 |
63 |
$1K |
| 90648 |
|
118 |
102 |
$1K |
| 90619 |
|
65 |
56 |
$1K |
| 0004A |
|
22 |
17 |
$799.24 |
| 90723 |
|
51 |
38 |
$702.15 |
| 0124A |
|
15 |
13 |
$627.00 |
| 90715 |
|
34 |
24 |
$530.79 |
| 0002A |
|
12 |
12 |
$505.68 |
| 90698 |
|
44 |
37 |
$456.87 |
| 99402 |
|
15 |
15 |
$452.50 |
| 92558 |
|
32 |
12 |
$390.40 |
| 99000 |
|
14 |
14 |
$328.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
14 |
$298.30 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
12 |
$290.00 |
| 90685 |
|
32 |
27 |
$204.80 |
| 85018 |
|
75 |
61 |
$174.00 |
| 90633 |
|
16 |
12 |
$134.43 |
| 94760 |
|
31 |
22 |
$92.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
100 |
92 |
$0.00 |
| 91307 |
|
18 |
18 |
$0.00 |
| 91305 |
|
16 |
16 |
$0.00 |