| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,610 |
6,010 |
$356K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,095 |
2,836 |
$238K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,635 |
5,526 |
$205K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,819 |
1,807 |
$150K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,748 |
1,737 |
$142K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,665 |
1,616 |
$127K |
| 90461 |
|
2,551 |
2,491 |
$118K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
923 |
921 |
$86K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
993 |
966 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
509 |
501 |
$13K |
| 94760 |
|
1,902 |
1,664 |
$2K |
| 92552 |
|
94 |
87 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
76 |
$1K |
| 99173 |
|
644 |
623 |
$1K |
| 85018 |
|
133 |
133 |
$303.77 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$300.00 |
| 81002 |
|
14 |
13 |
$36.53 |
| 90651 |
|
162 |
151 |
$15.43 |
| 90670 |
|
1,025 |
960 |
$15.43 |
| 90744 |
|
246 |
226 |
$0.00 |
| 90688 |
|
725 |
631 |
$0.00 |
| 90698 |
|
755 |
697 |
$0.00 |
| 90716 |
|
275 |
270 |
$0.00 |
| 90680 |
|
632 |
573 |
$0.00 |
| 90686 |
|
1,008 |
994 |
$0.00 |
| 90656 |
|
32 |
16 |
$0.00 |
| 90671 |
|
258 |
225 |
$0.00 |
| 90687 |
|
108 |
108 |
$0.00 |
| 90633 |
|
176 |
166 |
$0.00 |
| 99072 |
|
775 |
727 |
$0.00 |
| 90707 |
|
218 |
191 |
$0.00 |
| 90700 |
|
258 |
248 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90734 |
|
28 |
27 |
$0.00 |