| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,695 |
3,810 |
$214K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,418 |
2,046 |
$166K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,318 |
951 |
$96K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,266 |
1,032 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
786 |
601 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
677 |
510 |
$50K |
| 96127 |
|
3,333 |
2,759 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,657 |
2,026 |
$46K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
616 |
438 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,010 |
846 |
$15K |
| 90670 |
|
904 |
696 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
480 |
301 |
$9K |
| 90648 |
|
933 |
688 |
$9K |
| 90686 |
|
843 |
677 |
$7K |
| 90723 |
|
502 |
388 |
$5K |
| 90734 |
|
263 |
148 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
173 |
137 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
298 |
273 |
$4K |
| 87428 |
|
39 |
38 |
$2K |
| 83655 |
|
103 |
75 |
$1K |
| 90710 |
|
42 |
26 |
$943.75 |
| 90633 |
|
56 |
27 |
$829.09 |
| 90651 |
|
52 |
21 |
$773.08 |
| 90696 |
|
47 |
27 |
$710.20 |
| 90620 |
|
41 |
15 |
$617.68 |
| 36416 |
|
105 |
76 |
$424.35 |
| 90681 |
|
28 |
25 |
$272.80 |
| 85018 |
|
104 |
76 |
$235.43 |
| 85014 |
|
103 |
75 |
$233.11 |
| 87807 |
|
15 |
13 |
$151.91 |
| 99072 |
|
590 |
488 |
$50.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,977 |
1,368 |
$0.00 |
| 90461 |
|
878 |
588 |
$0.00 |