| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,143 |
7,626 |
$301K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,624 |
2,608 |
$209K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,282 |
2,257 |
$190K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,404 |
3,263 |
$177K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,430 |
6,374 |
$151K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,623 |
1,602 |
$146K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,240 |
1,228 |
$96K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,593 |
2,555 |
$63K |
| 92587 |
|
2,503 |
2,440 |
$18K |
| 90461 |
|
3,643 |
3,114 |
$15K |
| 99000 |
|
904 |
843 |
$9K |
| 81002 |
|
2,686 |
2,638 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
486 |
479 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
266 |
246 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
276 |
275 |
$4K |
| 99383 |
|
12 |
12 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
17 |
17 |
$647.19 |
| 99050 |
|
16 |
16 |
$239.04 |
| 90686 |
|
1,057 |
1,040 |
$221.10 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$134.70 |
| 83655 |
|
13 |
13 |
$132.21 |
| 85018 |
|
40 |
40 |
$80.47 |
| 90670 |
|
1,644 |
1,623 |
$26.60 |
| 90734 |
|
222 |
219 |
$16.85 |
| 90680 |
|
744 |
733 |
$9.10 |
| 90658 |
|
330 |
317 |
$9.10 |
| 90688 |
|
278 |
273 |
$8.00 |
| 90716 |
|
515 |
513 |
$7.70 |
| 90707 |
|
513 |
511 |
$7.35 |
| 90633 |
|
588 |
586 |
$5.60 |
| 90648 |
|
494 |
488 |
$5.60 |
| 90696 |
|
46 |
46 |
$4.90 |
| 90651 |
|
265 |
263 |
$4.90 |
| 90698 |
|
161 |
157 |
$0.00 |
| 90697 |
|
18 |
18 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90656 |
|
225 |
222 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90700 |
|
182 |
180 |
$0.00 |
| 90655 |
|
72 |
72 |
$0.00 |
| 90672 |
|
13 |
13 |
$0.00 |
| 90715 |
|
40 |
40 |
$0.00 |