| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,068 |
7,475 |
$450K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,421 |
3,085 |
$268K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,232 |
2,087 |
$169K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,819 |
1,691 |
$153K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,448 |
1,300 |
$111K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
476 |
379 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,001 |
867 |
$26K |
| 90686 |
|
1,330 |
1,257 |
$14K |
| 90734 |
|
576 |
515 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
313 |
290 |
$7K |
| 90651 |
|
451 |
407 |
$7K |
| 99383 |
|
47 |
34 |
$5K |
| 90670 |
|
370 |
303 |
$4K |
| 90620 |
|
237 |
218 |
$4K |
| 90633 |
|
301 |
258 |
$3K |
| 90710 |
|
188 |
160 |
$3K |
| 90715 |
|
212 |
178 |
$2K |
| 90677 |
|
110 |
96 |
$2K |
| 90697 |
|
99 |
90 |
$2K |
| 90658 |
|
94 |
94 |
$2K |
| 86580 |
|
287 |
222 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
250 |
239 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 90700 |
|
80 |
75 |
$975.95 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
65 |
55 |
$967.91 |
| 90687 |
|
55 |
46 |
$910.75 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
19 |
$882.31 |
| 90698 |
|
121 |
76 |
$812.56 |
| 90744 |
|
74 |
56 |
$804.57 |
| 90716 |
|
110 |
93 |
$672.80 |
| 90707 |
|
102 |
94 |
$667.20 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
19 |
$638.40 |
| 90696 |
|
35 |
18 |
$519.76 |
| 90671 |
|
16 |
16 |
$267.36 |
| 90680 |
|
13 |
13 |
$217.23 |
| 90685 |
|
31 |
29 |
$212.00 |
| 90713 |
|
19 |
15 |
$121.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
991 |
850 |
$0.00 |
| 90461 |
|
553 |
484 |
$0.00 |