| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,306 |
8,524 |
$378K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,065 |
1,054 |
$83K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
926 |
921 |
$75K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,255 |
3,600 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
841 |
822 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,120 |
1,066 |
$57K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
997 |
880 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
475 |
471 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,599 |
1,519 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,412 |
686 |
$19K |
| 92552 |
|
739 |
711 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,470 |
1,358 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
967 |
697 |
$8K |
| 90461 |
|
1,378 |
1,150 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
220 |
205 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
289 |
265 |
$3K |
| 97169 |
|
54 |
54 |
$1K |
| 87810 |
|
67 |
63 |
$652.08 |
| 81003 |
|
113 |
106 |
$210.79 |
| 90707 |
|
51 |
51 |
$0.00 |
| 90685 |
|
741 |
723 |
$0.00 |
| 90672 |
|
382 |
380 |
$0.00 |
| 90670 |
|
523 |
513 |
$0.00 |
| 90644 |
|
14 |
14 |
$0.00 |
| 90658 |
|
388 |
381 |
$0.00 |
| 90633 |
|
114 |
111 |
$0.00 |
| 90734 |
|
71 |
71 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| 90686 |
|
757 |
743 |
$0.00 |
| 90680 |
|
276 |
274 |
$0.00 |
| 90651 |
|
108 |
108 |
$0.00 |
| 90698 |
|
247 |
245 |
$0.00 |
| 90657 |
|
89 |
88 |
$0.00 |
| 90744 |
|
81 |
81 |
$0.00 |
| 90716 |
|
50 |
50 |
$0.00 |
| 90660 |
|
36 |
34 |
$0.00 |