| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,507 |
4,770 |
$259K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,602 |
2,166 |
$181K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,578 |
1,226 |
$114K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,424 |
1,171 |
$96K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,221 |
2,577 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
673 |
613 |
$46K |
| 96127 |
|
3,068 |
2,608 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
594 |
483 |
$44K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,673 |
1,462 |
$25K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
453 |
368 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
483 |
307 |
$10K |
| 90677 |
|
230 |
191 |
$9K |
| 90648 |
|
720 |
566 |
$9K |
| 90686 |
|
821 |
744 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
235 |
181 |
$6K |
| 90670 |
|
509 |
427 |
$5K |
| 90723 |
|
377 |
296 |
$5K |
| 87428 |
|
75 |
75 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
325 |
293 |
$4K |
| 90647 |
|
86 |
62 |
$2K |
| 90734 |
|
44 |
40 |
$961.18 |
| 83655 |
|
71 |
58 |
$825.28 |
| 90633 |
|
58 |
42 |
$666.09 |
| 90620 |
|
40 |
14 |
$621.83 |
| 87807 |
|
50 |
40 |
$510.62 |
| 99252 |
|
13 |
12 |
$465.60 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
23 |
23 |
$459.29 |
| 36416 |
|
69 |
58 |
$282.98 |
| 90656 |
|
15 |
15 |
$260.73 |
| 90710 |
|
17 |
12 |
$235.60 |
| 85018 |
|
89 |
73 |
$204.74 |
| 85014 |
|
89 |
73 |
$204.74 |
| 96160 |
|
12 |
12 |
$178.12 |
| 90696 |
|
12 |
12 |
$143.70 |
| 99072 |
|
671 |
545 |
$100.00 |
| 90681 |
|
12 |
12 |
$71.68 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,965 |
1,511 |
$0.00 |
| 90461 |
|
759 |
652 |
$0.00 |