| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,674 |
2,486 |
$151K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,314 |
1,228 |
$103K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
787 |
786 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
697 |
687 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
612 |
612 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
328 |
328 |
$28K |
| 99051 |
|
282 |
264 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
208 |
169 |
$7K |
| 99215 |
Prolong outpt/office vis |
44 |
40 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
196 |
188 |
$3K |
| 90687 |
|
287 |
218 |
$2K |
| 90670 |
|
533 |
488 |
$1K |
| 90698 |
|
170 |
129 |
$1K |
| 87428 |
|
55 |
53 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
32 |
32 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
25 |
$1K |
| 90688 |
|
42 |
38 |
$943.92 |
| 99173 |
|
467 |
467 |
$632.30 |
| 90680 |
|
283 |
262 |
$621.50 |
| 99188 |
|
17 |
17 |
$336.60 |
| 96127 |
|
521 |
521 |
$326.32 |
| 90633 |
|
160 |
159 |
$293.80 |
| 92551 |
|
778 |
778 |
$265.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
587 |
587 |
$199.27 |
| 90707 |
|
99 |
96 |
$192.10 |
| 90716 |
|
36 |
36 |
$135.60 |
| 96160 |
|
474 |
474 |
$87.31 |
| 96161 |
|
495 |
491 |
$36.15 |
| 83655 |
|
259 |
259 |
$17.27 |
| 80061 |
Lipid panel |
28 |
28 |
$0.16 |
| 90648 |
|
351 |
351 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 90651 |
|
42 |
42 |
$0.00 |
| 85018 |
|
27 |
27 |
$0.00 |
| 90723 |
|
267 |
267 |
$0.00 |
| 90686 |
|
74 |
74 |
$0.00 |
| 85013 |
|
12 |
12 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |