| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,566 |
3,023 |
$111K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
670 |
642 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
493 |
469 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
690 |
628 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,218 |
1,230 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
393 |
347 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
144 |
130 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
605 |
545 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
466 |
215 |
$5K |
| 90461 |
|
930 |
745 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
584 |
564 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
67 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
150 |
130 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 87807 |
|
73 |
67 |
$747.10 |
| 99000 |
|
53 |
53 |
$485.46 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
14 |
$211.04 |
| 83655 |
|
15 |
15 |
$111.87 |
| 85018 |
|
18 |
18 |
$27.86 |
| 81003 |
|
12 |
12 |
$25.08 |
| 96127 |
|
81 |
75 |
$0.02 |
| 90670 |
|
428 |
407 |
$0.01 |
| 90633 |
|
199 |
197 |
$0.00 |
| 90648 |
|
446 |
424 |
$0.00 |
| 90681 |
|
83 |
78 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |
| 90723 |
|
309 |
293 |
$0.00 |
| 90686 |
|
107 |
88 |
$0.00 |