| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,372 |
1,276 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
753 |
659 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
424 |
367 |
$33K |
| 90677 |
|
302 |
284 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
200 |
191 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
149 |
132 |
$11K |
| 96127 |
|
566 |
510 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
435 |
386 |
$8K |
| 90723 |
|
363 |
307 |
$6K |
| 90680 |
|
277 |
233 |
$5K |
| 90647 |
|
264 |
213 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
45 |
45 |
$4K |
| 90686 |
|
188 |
174 |
$3K |
| 90670 |
|
147 |
138 |
$2K |
| 90633 |
|
78 |
73 |
$1K |
| 90656 |
|
54 |
53 |
$902.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$500.80 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$459.29 |
| 91321 |
|
20 |
15 |
$334.20 |
| 90716 |
|
19 |
16 |
$317.49 |
| 90707 |
|
19 |
16 |
$317.49 |
| 90651 |
|
15 |
15 |
$250.65 |
| 83655 |
|
14 |
13 |
$166.04 |
| 85018 |
|
40 |
36 |
$92.80 |