| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,503 |
8,916 |
$670K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,638 |
1,541 |
$191K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,169 |
1,775 |
$174K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,554 |
1,281 |
$146K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
562 |
511 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
692 |
637 |
$42K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,143 |
980 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,386 |
2,907 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
197 |
172 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,544 |
1,496 |
$17K |
| 99188 |
|
2,005 |
1,881 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
165 |
155 |
$13K |
| 97802 |
|
1,435 |
1,262 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
271 |
249 |
$12K |
| 97803 |
|
1,190 |
1,145 |
$10K |
| 90461 |
|
1,545 |
1,366 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,338 |
1,160 |
$6K |
| 99383 |
|
53 |
52 |
$6K |
| 99051 |
|
1,044 |
930 |
$5K |
| 92558 |
|
805 |
638 |
$4K |
| 90670 |
|
748 |
740 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,249 |
2,635 |
$2K |
| 87807 |
|
342 |
289 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
111 |
107 |
$714.37 |
| 90686 |
|
308 |
289 |
$713.02 |
| 81002 |
|
671 |
545 |
$701.38 |
| 96127 |
|
366 |
313 |
$645.37 |
| 90633 |
|
142 |
139 |
$602.19 |
| 90716 |
|
80 |
77 |
$391.06 |
| 90698 |
|
420 |
410 |
$274.06 |
| 92551 |
|
328 |
320 |
$246.02 |
| 99174 |
|
2,126 |
1,633 |
$192.06 |
| 90744 |
|
240 |
230 |
$144.05 |
| 83655 |
|
12 |
12 |
$83.28 |
| 90687 |
|
35 |
34 |
$79.00 |
| 90707 |
|
97 |
96 |
$72.02 |
| 94760 |
|
78 |
62 |
$53.82 |
| S8301 |
Infection control supplies, not otherwise specified |
209 |
199 |
$30.00 |
| 90700 |
|
89 |
88 |
$12.00 |
| 90680 |
|
390 |
387 |
$12.00 |
| 90648 |
|
16 |
16 |
$0.00 |
| 99177 |
|
16 |
15 |
$0.00 |
| 36416 |
|
1,033 |
675 |
$0.00 |
| 99172 |
|
100 |
94 |
$0.00 |
| 90688 |
|
57 |
57 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |