| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,571 |
6,856 |
$625K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,009 |
2,794 |
$351K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,290 |
2,233 |
$244K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,145 |
2,056 |
$226K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,451 |
2,165 |
$225K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,457 |
1,416 |
$166K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,639 |
2,435 |
$132K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,167 |
4,980 |
$49K |
| 90686 |
|
1,707 |
1,658 |
$37K |
| 92551 |
|
3,984 |
3,858 |
$37K |
| 90677 |
|
460 |
439 |
$30K |
| 90648 |
|
1,373 |
1,274 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,202 |
1,131 |
$29K |
| 96127 |
|
6,493 |
4,552 |
$27K |
| 90670 |
|
1,103 |
1,040 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
610 |
566 |
$25K |
| 90723 |
|
926 |
854 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,450 |
1,339 |
$17K |
| 90633 |
|
556 |
527 |
$12K |
| 90716 |
|
523 |
495 |
$12K |
| 90707 |
|
489 |
466 |
$11K |
| 90680 |
|
490 |
460 |
$11K |
| 99173 |
|
3,811 |
3,636 |
$9K |
| 90651 |
|
377 |
372 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
312 |
303 |
$7K |
| W7000 |
|
1,410 |
1,365 |
$7K |
| 90734 |
|
254 |
249 |
$6K |
| 90697 |
|
151 |
145 |
$5K |
| 0071A |
|
144 |
106 |
$4K |
| 90715 |
|
185 |
180 |
$4K |
| 99401 |
|
120 |
114 |
$4K |
| 99381 |
|
56 |
52 |
$4K |
| 0072A |
|
89 |
75 |
$3K |
| 0001A |
|
63 |
63 |
$3K |
| 90681 |
|
112 |
101 |
$2K |
| 90696 |
|
98 |
91 |
$2K |
| 0002A |
|
53 |
51 |
$2K |
| 81002 |
|
1,273 |
1,199 |
$2K |
| 94760 |
|
1,067 |
940 |
$1K |
| 90700 |
|
48 |
45 |
$1K |
| 99051 |
|
326 |
308 |
$915.00 |
| 96161 |
|
665 |
609 |
$872.89 |
| 92567 |
|
33 |
29 |
$608.69 |
| 90620 |
|
27 |
26 |
$605.28 |
| 87807 |
|
16 |
16 |
$193.04 |
| 84030 |
|
33 |
30 |
$73.44 |
| 91300 |
|
68 |
63 |
$0.06 |
| 90461 |
|
241 |
235 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
422 |
414 |
$0.00 |
| 91307 |
|
71 |
68 |
$0.00 |
| 36416 |
|
77 |
68 |
$0.00 |