| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,654 |
4,084 |
$170K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
652 |
642 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
676 |
673 |
$53K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,971 |
1,976 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
541 |
533 |
$42K |
| 87428 |
|
650 |
609 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
362 |
355 |
$32K |
| 92587 |
|
1,653 |
1,633 |
$25K |
| 99429 |
|
531 |
527 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,016 |
978 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
441 |
427 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
196 |
167 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
912 |
905 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
412 |
363 |
$5K |
| 90461 |
|
1,104 |
964 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
220 |
107 |
$3K |
| 0071A |
|
54 |
54 |
$2K |
| 0002A |
|
44 |
41 |
$2K |
| 0001A |
|
41 |
41 |
$2K |
| 0072A |
|
32 |
32 |
$1K |
| 90686 |
|
251 |
247 |
$17.50 |
| G9920 |
Screening performed and negative |
1,474 |
1,433 |
$0.00 |
| 99173 |
|
1,467 |
1,447 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 91300 |
|
129 |
110 |
$0.00 |
| 90670 |
|
181 |
180 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90698 |
|
38 |
38 |
$0.00 |
| 90677 |
|
158 |
155 |
$0.00 |
| 91307 |
|
88 |
84 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |