| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,383 |
3,600 |
$256K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
409 |
400 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
348 |
342 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
174 |
174 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
427 |
408 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
162 |
140 |
$11K |
| 90686 |
|
789 |
782 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
616 |
287 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
93 |
92 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
682 |
666 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
323 |
298 |
$4K |
| 99173 |
|
1,502 |
1,483 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
58 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
154 |
149 |
$2K |
| 90656 |
|
116 |
115 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
300 |
286 |
$2K |
| 99383 |
|
16 |
16 |
$1K |
| 90685 |
|
98 |
98 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 90670 |
|
55 |
54 |
$1K |
| 90651 |
|
12 |
12 |
$1K |
| 96127 |
|
175 |
175 |
$856.11 |
| 90619 |
|
12 |
12 |
$399.93 |
| 90734 |
|
13 |
13 |
$266.77 |
| 90677 |
|
13 |
13 |
$143.00 |