| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,959 |
12,897 |
$914K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,670 |
4,485 |
$449K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,091 |
3,091 |
$259K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,727 |
2,727 |
$230K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,285 |
2,270 |
$180K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,812 |
1,812 |
$165K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,929 |
7,876 |
$106K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,339 |
1,304 |
$46K |
| 83655 |
|
1,214 |
1,214 |
$15K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
438 |
425 |
$9K |
| 96127 |
|
1,681 |
1,681 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
287 |
246 |
$5K |
| 90461 |
|
2,464 |
2,461 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
799 |
781 |
$3K |
| 85018 |
|
1,413 |
1,410 |
$3K |
| 80061 |
Lipid panel |
459 |
459 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
78 |
72 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
139 |
139 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 82948 |
|
309 |
309 |
$588.01 |
| 96160 |
|
247 |
247 |
$338.08 |
| 90686 |
|
1,640 |
1,639 |
$276.87 |
| 90688 |
|
297 |
296 |
$63.30 |
| 81003 |
|
28 |
27 |
$50.68 |
| 90633 |
|
679 |
679 |
$41.67 |
| 90685 |
|
140 |
140 |
$21.41 |
| 99000 |
|
459 |
446 |
$4.03 |
| 90681 |
|
333 |
333 |
$0.00 |
| 90670 |
|
1,349 |
1,348 |
$0.00 |
| 90648 |
|
1,510 |
1,510 |
$0.00 |
| 90710 |
|
440 |
440 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |
| 90734 |
|
293 |
293 |
$0.00 |
| 90715 |
|
54 |
54 |
$0.00 |
| 90723 |
|
1,058 |
1,057 |
$0.00 |
| 36416 |
|
2,735 |
2,721 |
$0.00 |
| 94760 |
|
13 |
13 |
$0.00 |
| 90677 |
|
239 |
239 |
$0.00 |
| 90651 |
|
126 |
125 |
$0.00 |
| 90696 |
|
24 |
24 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 91307 |
|
66 |
66 |
$0.00 |