| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,646 |
1,586 |
$124K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,606 |
1,591 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,979 |
2,810 |
$113K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,258 |
1,226 |
$94K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,249 |
1,184 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
494 |
459 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
732 |
666 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
317 |
303 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
836 |
411 |
$10K |
| G0008 |
Administration of influenza virus vaccine |
823 |
817 |
$8K |
| 99188 |
|
400 |
399 |
$8K |
| 99173 |
|
2,100 |
2,073 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
384 |
376 |
$5K |
| 92551 |
|
2,039 |
2,012 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
405 |
404 |
$3K |
| 96161 |
|
798 |
762 |
$2K |
| 90686 |
|
172 |
170 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
56 |
56 |
$2K |
| 90698 |
|
396 |
393 |
$2K |
| 90670 |
|
585 |
582 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,049 |
1,000 |
$1K |
| 90633 |
|
242 |
241 |
$572.00 |
| 90680 |
|
419 |
419 |
$506.00 |
| 85018 |
|
140 |
140 |
$236.59 |
| 92552 |
|
14 |
14 |
$215.74 |
| 96127 |
|
1,250 |
1,201 |
$151.80 |
| 90744 |
|
38 |
37 |
$132.00 |
| 90651 |
|
41 |
41 |
$132.00 |
| 83655 |
|
168 |
158 |
$103.32 |
| 96160 |
|
1,380 |
1,326 |
$50.75 |
| 90697 |
|
230 |
230 |
$0.00 |
| 90677 |
|
233 |
232 |
$0.00 |
| 90619 |
|
124 |
124 |
$0.00 |
| 80061 |
Lipid panel |
70 |
70 |
$0.00 |
| 90621 |
|
25 |
25 |
$0.00 |