| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,381 |
9,787 |
$1.09M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,709 |
2,709 |
$286K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,160 |
2,160 |
$238K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,337 |
1,302 |
$209K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,241 |
5,234 |
$202K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,641 |
1,641 |
$188K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
454 |
454 |
$63K |
| 92551 |
|
2,500 |
2,500 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,832 |
1,791 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,985 |
1,985 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
452 |
448 |
$17K |
| 99460 |
|
84 |
84 |
$13K |
| 99383 |
|
40 |
40 |
$7K |
| 99381 |
|
53 |
53 |
$7K |
| 99462 |
|
95 |
71 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
47 |
47 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
242 |
232 |
$6K |
| 99382 |
|
33 |
33 |
$6K |
| 99173 |
|
1,454 |
1,454 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
255 |
252 |
$4K |
| 0072A |
|
26 |
26 |
$650.00 |
| 90656 |
|
134 |
134 |
$537.14 |
| 87807 |
|
33 |
33 |
$372.80 |
| 0071A |
|
12 |
12 |
$235.00 |
| 90633 |
|
457 |
457 |
$74.52 |
| 90677 |
|
397 |
397 |
$6.00 |
| 90670 |
|
986 |
986 |
$0.00 |
| 90700 |
|
16 |
16 |
$0.00 |
| 96160 |
|
120 |
120 |
$0.00 |
| 90681 |
|
440 |
440 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90697 |
|
662 |
662 |
$0.00 |
| 90686 |
|
1,091 |
1,091 |
$0.00 |
| 90647 |
|
278 |
278 |
$0.00 |
| 90723 |
|
258 |
258 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 91307 |
|
38 |
31 |
$0.00 |