| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,320 |
5,597 |
$475K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
957 |
912 |
$112K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,024 |
892 |
$92K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,115 |
2,065 |
$89K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
676 |
663 |
$66K |
| 97802 |
|
1,986 |
1,955 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
502 |
495 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
301 |
297 |
$33K |
| 90461 |
|
1,016 |
993 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
695 |
652 |
$10K |
| 81002 |
|
1,298 |
1,263 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
109 |
109 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
216 |
95 |
$3K |
| 96127 |
|
281 |
274 |
$1K |
| 99188 |
|
28 |
26 |
$638.08 |
| 96161 |
|
183 |
178 |
$314.50 |
| 90686 |
|
294 |
283 |
$57.97 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$23.76 |
| 90648 |
|
432 |
425 |
$12.72 |
| 90671 |
|
187 |
183 |
$10.00 |
| 92551 |
|
2,492 |
2,196 |
$0.00 |
| 90723 |
|
275 |
271 |
$0.00 |
| 90651 |
|
29 |
29 |
$0.00 |
| 99173 |
|
2,375 |
2,096 |
$0.00 |
| 90670 |
|
303 |
300 |
$0.00 |
| 90681 |
|
24 |
24 |
$0.00 |
| 90633 |
|
132 |
121 |
$0.00 |
| 90734 |
|
33 |
31 |
$0.00 |