| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,911 |
1,758 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
905 |
861 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
403 |
401 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
298 |
291 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,253 |
1,482 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
504 |
479 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
209 |
209 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
257 |
250 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
653 |
638 |
$9K |
| 90461 |
|
871 |
782 |
$6K |
| 99381 |
|
56 |
56 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
119 |
118 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
52 |
39 |
$365.89 |
| 92587 |
|
91 |
89 |
$205.44 |
| 90670 |
|
492 |
489 |
$0.00 |
| 99173 |
|
152 |
147 |
$0.00 |
| 99072 |
|
197 |
191 |
$0.00 |
| 90633 |
|
62 |
61 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90710 |
|
51 |
51 |
$0.00 |
| 90744 |
|
210 |
210 |
$0.00 |
| 90680 |
|
397 |
394 |
$0.00 |
| 90698 |
|
522 |
520 |
$0.00 |
| 90686 |
|
537 |
531 |
$0.00 |