| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,464 |
2,991 |
$208K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,038 |
1,833 |
$173K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,124 |
1,083 |
$82K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
765 |
697 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
333 |
323 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
125 |
121 |
$9K |
| 92551 |
|
622 |
598 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
416 |
404 |
$6K |
| 90686 |
|
635 |
572 |
$5K |
| 99401 |
|
269 |
232 |
$5K |
| 90697 |
|
193 |
185 |
$4K |
| 90670 |
|
345 |
320 |
$4K |
| 85018 |
|
1,852 |
1,757 |
$4K |
| 90671 |
|
73 |
70 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
382 |
369 |
$3K |
| 99174 |
|
594 |
580 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
294 |
145 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
199 |
194 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
59 |
56 |
$3K |
| 90677 |
|
161 |
155 |
$2K |
| 90680 |
|
183 |
172 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
27 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
64 |
60 |
$2K |
| 99173 |
|
867 |
829 |
$2K |
| 90633 |
|
152 |
144 |
$2K |
| 90656 |
|
105 |
103 |
$1K |
| 0072A |
|
31 |
31 |
$1K |
| 96127 |
|
201 |
193 |
$925.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$914.12 |
| 0071A |
|
21 |
21 |
$840.00 |
| 90698 |
|
72 |
61 |
$739.55 |
| 92587 |
|
29 |
25 |
$445.83 |
| 90619 |
|
28 |
26 |
$428.43 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
63 |
39 |
$160.68 |
| 90707 |
|
15 |
12 |
$132.00 |
| 90696 |
|
12 |
12 |
$121.00 |
| 90710 |
|
13 |
13 |
$121.00 |
| 90716 |
|
18 |
15 |
$110.00 |
| 36416 |
|
79 |
75 |
$12.45 |
| 91307 |
|
57 |
53 |
$0.06 |