| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,035 |
6,815 |
$430K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,459 |
1,809 |
$195K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,705 |
2,034 |
$190K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,948 |
1,432 |
$152K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,132 |
862 |
$97K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,049 |
2,372 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
614 |
541 |
$48K |
| 90670 |
|
1,634 |
1,226 |
$17K |
| 99173 |
|
1,397 |
915 |
$11K |
| 90633 |
|
630 |
528 |
$10K |
| 90686 |
|
721 |
598 |
$9K |
| 90648 |
|
495 |
439 |
$8K |
| 90680 |
|
510 |
428 |
$7K |
| 90723 |
|
339 |
295 |
$5K |
| 90734 |
|
422 |
306 |
$5K |
| 90698 |
|
629 |
431 |
$4K |
| 90744 |
|
579 |
415 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
51 |
49 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
68 |
54 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
107 |
91 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
78 |
70 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
238 |
165 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
183 |
155 |
$3K |
| 90677 |
|
148 |
127 |
$2K |
| 83655 |
|
197 |
161 |
$2K |
| 90715 |
|
194 |
140 |
$2K |
| 87634 |
|
33 |
33 |
$2K |
| 87428 |
|
27 |
25 |
$2K |
| 99460 |
|
27 |
27 |
$2K |
| 90710 |
|
81 |
61 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
24 |
$1K |
| 90651 |
|
61 |
49 |
$1K |
| 87807 |
|
107 |
103 |
$1K |
| 90696 |
|
80 |
60 |
$985.02 |
| 90656 |
|
44 |
44 |
$783.23 |
| 90700 |
|
60 |
52 |
$683.46 |
| 0002A |
|
14 |
14 |
$621.17 |
| 90716 |
|
55 |
41 |
$472.73 |
| 90707 |
|
31 |
25 |
$201.45 |
| 88720 |
|
41 |
40 |
$180.40 |
| 87400 |
|
47 |
20 |
$148.80 |
| 85018 |
|
64 |
51 |
$148.48 |
| 90647 |
|
12 |
12 |
$80.44 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
13 |
$0.00 |