| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,855 |
3,986 |
$350K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,213 |
1,653 |
$185K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,274 |
1,260 |
$74K |
| 99188 |
|
1,130 |
1,112 |
$73K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,555 |
2,469 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,023 |
950 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
396 |
373 |
$44K |
| 90670 |
|
484 |
469 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
297 |
291 |
$24K |
| 90461 |
|
1,360 |
1,321 |
$21K |
| 92552 |
|
476 |
460 |
$9K |
| 99177 |
|
743 |
664 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,217 |
836 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
192 |
180 |
$5K |
| 90698 |
|
491 |
473 |
$4K |
| 90686 |
|
382 |
373 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
22 |
16 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
147 |
61 |
$1K |
| 87428 |
|
58 |
58 |
$893.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
183 |
178 |
$842.92 |
| 90716 |
|
12 |
12 |
$761.44 |
| 90680 |
|
163 |
157 |
$513.70 |
| 96127 |
|
48 |
43 |
$476.62 |
| 90633 |
|
63 |
63 |
$387.51 |
| 90707 |
|
14 |
13 |
$312.58 |
| 90685 |
|
18 |
12 |
$210.50 |
| 90677 |
|
53 |
50 |
$0.00 |
| 90744 |
|
41 |
40 |
$0.00 |
| 90656 |
|
17 |
17 |
$0.00 |
| 99072 |
|
39 |
38 |
$0.00 |