| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,210 |
2,757 |
$156K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
870 |
786 |
$72K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,153 |
1,001 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
906 |
842 |
$54K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
552 |
523 |
$24K |
| 99188 |
|
1,948 |
1,812 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
222 |
219 |
$15K |
| 3008F |
|
1,598 |
1,514 |
$14K |
| 92551 |
|
1,036 |
979 |
$13K |
| 99173 |
|
642 |
611 |
$11K |
| 90686 |
|
1,230 |
1,146 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
114 |
114 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
500 |
474 |
$8K |
| 96127 |
|
714 |
694 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
119 |
95 |
$5K |
| 90656 |
|
285 |
285 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
122 |
109 |
$4K |
| 90670 |
|
572 |
498 |
$4K |
| 83655 |
|
346 |
301 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
26 |
$3K |
| 90633 |
|
184 |
172 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
80 |
$1K |
| 90677 |
|
81 |
80 |
$1K |
| 90697 |
|
205 |
168 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
26 |
26 |
$892.07 |
| 85018 |
|
381 |
336 |
$759.59 |
| 36416 |
|
369 |
324 |
$712.92 |
| 90648 |
|
64 |
61 |
$346.39 |
| 90723 |
|
70 |
70 |
$258.35 |
| 90681 |
|
79 |
68 |
$213.21 |
| 81002 |
|
67 |
54 |
$148.91 |
| 99000 |
|
12 |
12 |
$49.20 |
| 90716 |
|
12 |
12 |
$34.16 |
| 90707 |
|
12 |
12 |
$34.16 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,462 |
1,272 |
$28.31 |
| 94760 |
|
19 |
14 |
$14.38 |
| 90461 |
|
593 |
490 |
$0.00 |