| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,029 |
14,340 |
$1.66M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,951 |
1,935 |
$193K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,664 |
1,660 |
$175K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
957 |
957 |
$101K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,842 |
4,779 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
341 |
332 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,981 |
6,202 |
$39K |
| 90677 |
|
275 |
275 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,877 |
1,367 |
$28K |
| 87070 |
|
4,955 |
4,538 |
$25K |
| 99050 |
|
2,735 |
2,584 |
$23K |
| 87184 |
|
4,958 |
4,541 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
163 |
163 |
$19K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
124 |
121 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
21 |
$2K |
| 87807 |
|
214 |
206 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
53 |
53 |
$463.72 |
| 36416 |
|
682 |
659 |
$253.03 |
| 90686 |
|
206 |
206 |
$20.03 |
| 90670 |
|
175 |
175 |
$0.00 |
| 90461 |
|
111 |
111 |
$0.00 |
| 99000 |
|
2,089 |
1,952 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |