| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99335 |
|
4,148 |
2,211 |
$200K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,288 |
4,222 |
$167K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,418 |
1,362 |
$95K |
| 99348 |
|
1,541 |
1,036 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,295 |
1,153 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
699 |
691 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,520 |
1,829 |
$35K |
| 99000 |
|
2,081 |
1,806 |
$18K |
| 99342 |
|
278 |
275 |
$16K |
| 99325 |
|
349 |
347 |
$13K |
| 99334 |
|
379 |
269 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
719 |
675 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
156 |
144 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
413 |
286 |
$7K |
| 86580 |
|
803 |
790 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
444 |
427 |
$5K |
| 90461 |
|
340 |
264 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
40 |
$2K |
| 87807 |
|
156 |
150 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$2K |
| 96160 |
|
786 |
773 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
19 |
$383.05 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
55 |
48 |
$344.54 |
| 97169 |
|
14 |
14 |
$276.00 |
| 92551 |
|
24 |
23 |
$198.49 |
| 90686 |
|
936 |
924 |
$0.00 |
| 90651 |
|
199 |
197 |
$0.00 |
| 90620 |
|
96 |
93 |
$0.00 |
| 90734 |
|
158 |
153 |
$0.00 |
| 90715 |
|
48 |
47 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90672 |
|
18 |
17 |
$0.00 |