| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,310 |
1,004 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
823 |
708 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
222 |
211 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
794 |
754 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
108 |
92 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
116 |
93 |
$4K |
| 90670 |
|
45 |
44 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
27 |
$2K |
| 92552 |
|
79 |
69 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
50 |
44 |
$1K |
| 99383 |
|
13 |
12 |
$1K |
| 90681 |
|
27 |
25 |
$977.63 |
| 94760 |
|
1,128 |
969 |
$720.17 |
| 90686 |
|
60 |
57 |
$633.20 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
13 |
$578.83 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
286 |
209 |
$555.04 |
| 90461 |
|
207 |
104 |
$394.95 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
12 |
$217.80 |
| 99173 |
|
86 |
71 |
$168.37 |
| 90698 |
|
12 |
12 |
$132.55 |
| 99177 |
|
27 |
27 |
$100.69 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
15 |
$99.09 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
13 |
$98.40 |
| 99051 |
|
27 |
25 |
$24.00 |
| 96161 |
|
18 |
12 |
$13.60 |