| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,892 |
5,148 |
$192K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,989 |
1,874 |
$139K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,742 |
1,574 |
$116K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,795 |
3,385 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
554 |
532 |
$43K |
| 90461 |
|
2,655 |
2,146 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,423 |
1,371 |
$11K |
| 54150 |
|
278 |
249 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
42 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
46 |
44 |
$2K |
| 92081 |
|
90 |
78 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
36 |
$2K |
| 92551 |
|
805 |
774 |
$1K |
| 99381 |
|
27 |
26 |
$911.02 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
150 |
89 |
$625.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
33 |
$510.26 |
| 99000 |
|
30 |
26 |
$313.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$194.46 |
| 96160 |
|
43 |
40 |
$42.46 |
| 90619 |
|
17 |
17 |
$0.09 |
| 90647 |
|
1,186 |
1,147 |
$0.00 |
| 90723 |
|
795 |
769 |
$0.00 |
| 90696 |
|
65 |
64 |
$0.00 |
| 90686 |
|
333 |
300 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 99173 |
|
1,272 |
1,218 |
$0.00 |
| 90633 |
|
516 |
490 |
$0.00 |
| 90670 |
|
1,192 |
1,152 |
$0.00 |
| 90685 |
|
282 |
252 |
$0.00 |
| 90700 |
|
110 |
97 |
$0.00 |
| 90710 |
|
107 |
104 |
$0.00 |
| 94664 |
|
40 |
28 |
$0.00 |
| 90715 |
|
16 |
15 |
$0.00 |
| 99072 |
|
13 |
13 |
$0.00 |