| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,335 |
5,663 |
$391K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,014 |
965 |
$118K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
499 |
491 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
489 |
469 |
$45K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
987 |
948 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,285 |
2,193 |
$41K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,013 |
1,478 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
202 |
200 |
$23K |
| 90461 |
|
654 |
617 |
$21K |
| 92588 |
|
200 |
200 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,416 |
1,357 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
184 |
168 |
$14K |
| 92587 |
|
152 |
152 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
205 |
185 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
448 |
433 |
$4K |
| 81002 |
|
1,652 |
1,614 |
$4K |
| 87807 |
|
237 |
223 |
$2K |
| 99050 |
|
46 |
43 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
101 |
101 |
$1K |
| 96127 |
|
338 |
265 |
$939.65 |
| 99177 |
|
93 |
93 |
$456.18 |
| 99173 |
|
76 |
76 |
$160.58 |
| 90656 |
|
13 |
13 |
$11.00 |
| 90686 |
|
26 |
26 |
$0.26 |