| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,754 |
22,408 |
$2.24M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,292 |
2,902 |
$397K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,421 |
2,965 |
$378K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,290 |
2,457 |
$372K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,805 |
2,364 |
$365K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,573 |
1,874 |
$313K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,725 |
6,067 |
$144K |
| 90461 |
|
3,748 |
3,160 |
$104K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
966 |
832 |
$96K |
| 92552 |
|
8,506 |
6,465 |
$89K |
| 99383 |
|
481 |
475 |
$69K |
| 99382 |
|
327 |
321 |
$42K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,234 |
2,012 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,531 |
4,007 |
$30K |
| 99381 |
|
249 |
239 |
$27K |
| 99384 |
|
162 |
161 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
129 |
127 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
417 |
177 |
$17K |
| 99188 |
|
766 |
701 |
$8K |
| 87807 |
|
999 |
926 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
47 |
$5K |
| 86769 |
|
105 |
95 |
$5K |
| 83655 |
|
552 |
540 |
$3K |
| 17110 |
|
26 |
25 |
$2K |
| 0071A |
|
55 |
55 |
$1K |
| 99173 |
|
8,903 |
6,716 |
$995.34 |
| 99401 |
|
35 |
33 |
$873.31 |
| 85018 |
|
944 |
731 |
$807.21 |
| 0072A |
|
32 |
31 |
$720.00 |
| 81002 |
|
404 |
378 |
$706.07 |
| 90670 |
|
1,773 |
1,528 |
$662.12 |
| 96127 |
|
239 |
233 |
$596.64 |
| 90686 |
|
1,462 |
1,041 |
$411.30 |
| 90633 |
|
1,452 |
1,036 |
$327.07 |
| 90647 |
|
1,296 |
1,233 |
$78.66 |
| 90651 |
|
1,190 |
766 |
$78.66 |
| 92567 |
|
12 |
12 |
$16.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,122 |
3,901 |
$10.05 |
| 90620 |
|
139 |
137 |
$0.00 |
| 90723 |
|
901 |
866 |
$0.00 |
| 91307 |
|
96 |
87 |
$0.00 |
| 90696 |
|
226 |
219 |
$0.00 |
| 90716 |
|
118 |
115 |
$0.00 |
| 90698 |
|
26 |
26 |
$0.00 |
| 36416 |
|
46 |
38 |
$0.00 |
| 90710 |
|
307 |
302 |
$0.00 |
| 90734 |
|
819 |
473 |
$0.00 |
| 90707 |
|
79 |
76 |
$0.00 |
| 90681 |
|
654 |
636 |
$0.00 |
| 90715 |
|
221 |
215 |
$0.00 |
| 90700 |
|
264 |
258 |
$0.00 |