| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,129 |
1,968 |
$65K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,308 |
1,225 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,497 |
1,431 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
532 |
517 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
472 |
444 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
444 |
430 |
$15K |
| 90461 |
|
727 |
704 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
328 |
308 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
324 |
275 |
$10K |
| 92551 |
|
1,003 |
953 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
285 |
231 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
87 |
86 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
388 |
360 |
$4K |
| 96127 |
|
1,255 |
912 |
$3K |
| 90651 |
|
49 |
49 |
$3K |
| 90677 |
|
239 |
233 |
$3K |
| 90686 |
|
479 |
437 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
24 |
$972.50 |
| 96160 |
|
500 |
467 |
$934.38 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,085 |
1,036 |
$925.43 |
| 90734 |
|
12 |
12 |
$446.47 |
| 90633 |
|
106 |
97 |
$268.07 |
| 36416 |
|
109 |
109 |
$184.62 |
| 90671 |
|
131 |
130 |
$129.00 |
| 90656 |
|
88 |
88 |
$106.21 |
| 90697 |
|
118 |
117 |
$92.25 |
| 90674 |
|
30 |
29 |
$29.00 |
| 90661 |
|
67 |
66 |
$0.01 |
| 90670 |
|
45 |
39 |
$0.00 |
| 97802 |
|
2,151 |
2,040 |
$0.00 |
| 3008F |
|
623 |
588 |
$0.00 |
| 90698 |
|
40 |
39 |
$0.00 |
| 99000 |
|
288 |
218 |
$0.00 |