| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,396 |
7,705 |
$570K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,806 |
2,773 |
$278K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,898 |
2,581 |
$253K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,552 |
1,545 |
$151K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,491 |
7,353 |
$151K |
| 90461 |
|
3,757 |
3,660 |
$95K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
370 |
370 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
372 |
362 |
$40K |
| 99401 |
|
970 |
947 |
$38K |
| 99188 |
|
2,217 |
2,191 |
$31K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,461 |
2,295 |
$17K |
| 87428 |
|
236 |
234 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
309 |
222 |
$6K |
| 83655 |
|
339 |
338 |
$5K |
| 87430 |
|
320 |
314 |
$4K |
| 36416 |
|
1,200 |
1,195 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
40 |
40 |
$2K |
| 87420 |
|
102 |
102 |
$1K |
| 85018 |
|
482 |
478 |
$1K |
| 0072A |
|
20 |
12 |
$320.01 |
| 90686 |
|
2,703 |
2,663 |
$319.16 |
| 90672 |
|
784 |
767 |
$76.69 |
| 90633 |
|
537 |
528 |
$8.25 |
| 90698 |
|
1,734 |
1,715 |
$0.04 |
| 90670 |
|
1,663 |
1,644 |
$0.03 |
| 90744 |
|
565 |
555 |
$0.03 |
| 90680 |
|
1,140 |
1,126 |
$0.02 |
| 90710 |
|
69 |
69 |
$0.00 |
| 90734 |
|
74 |
73 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90677 |
|
162 |
160 |
$0.00 |
| 90696 |
|
68 |
68 |
$0.00 |
| 90651 |
|
72 |
72 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 91307 |
|
48 |
35 |
$0.00 |