| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,499 |
2,810 |
$103K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
447 |
415 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
442 |
421 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,624 |
1,210 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
409 |
386 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
290 |
273 |
$22K |
| 99429 |
|
213 |
193 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
164 |
147 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
330 |
133 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
182 |
170 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
171 |
117 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
142 |
125 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
49 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
17 |
$1K |
| 92551 |
|
173 |
149 |
$662.09 |
| 90461 |
|
382 |
330 |
$33.88 |
| 90688 |
|
201 |
178 |
$19.33 |
| 90671 |
|
157 |
140 |
$0.37 |
| 90651 |
|
112 |
109 |
$0.08 |
| 90619 |
|
55 |
53 |
$0.07 |
| 90685 |
|
12 |
12 |
$0.06 |
| 90686 |
|
81 |
77 |
$0.06 |
| 90697 |
|
13 |
12 |
$0.02 |
| 90656 |
|
105 |
105 |
$0.01 |
| 90715 |
|
30 |
30 |
$0.00 |
| 90707 |
|
51 |
48 |
$0.00 |
| 90670 |
|
35 |
35 |
$0.00 |
| 99173 |
|
102 |
96 |
$0.00 |
| 90648 |
|
20 |
16 |
$0.00 |
| 90633 |
|
14 |
13 |
$0.00 |
| 90716 |
|
66 |
61 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90660 |
|
94 |
89 |
$0.00 |
| 90680 |
|
95 |
87 |
$0.00 |