| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,849 |
6,269 |
$336K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,998 |
1,916 |
$143K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,946 |
3,763 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,024 |
1,017 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
994 |
972 |
$70K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,661 |
4,529 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
480 |
479 |
$35K |
| 90461 |
|
1,659 |
1,458 |
$34K |
| 87428 |
|
613 |
596 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,056 |
1,066 |
$28K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
239 |
233 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
258 |
257 |
$21K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
235 |
233 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
576 |
567 |
$6K |
| 87807 |
|
76 |
75 |
$870.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
30 |
$748.76 |
| 81003 |
|
245 |
229 |
$471.30 |
| 81025 |
|
24 |
24 |
$174.43 |
| 90633 |
|
460 |
458 |
$0.00 |
| 90670 |
|
767 |
760 |
$0.00 |
| 90734 |
|
85 |
85 |
$0.00 |
| 90710 |
|
90 |
89 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |
| 90681 |
|
38 |
38 |
$0.00 |
| 90723 |
|
249 |
248 |
$0.00 |
| 90686 |
|
898 |
893 |
$0.00 |
| 90651 |
|
185 |
185 |
$0.00 |
| 90647 |
|
312 |
309 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90656 |
|
17 |
17 |
$0.00 |
| 90677 |
|
39 |
38 |
$0.00 |