| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,423 |
2,973 |
$238K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,170 |
3,535 |
$171K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,008 |
1,913 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
808 |
797 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
659 |
606 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
554 |
540 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
443 |
438 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
328 |
274 |
$30K |
| 99050 |
|
1,027 |
958 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
678 |
325 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
604 |
586 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
123 |
121 |
$5K |
| 96127 |
|
299 |
297 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
27 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
144 |
114 |
$2K |
| 99051 |
|
52 |
51 |
$885.40 |
| 85018 |
|
16 |
13 |
$43.55 |
| 90686 |
|
373 |
369 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90620 |
|
20 |
20 |
$0.00 |
| 90658 |
|
87 |
85 |
$0.00 |
| 90700 |
|
50 |
50 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90670 |
|
15 |
14 |
$0.00 |
| 90685 |
|
17 |
17 |
$0.00 |