| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,462 |
7,358 |
$632K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,517 |
2,262 |
$240K |
| 99442 |
|
2,034 |
1,669 |
$116K |
| 96112 |
|
1,516 |
1,482 |
$94K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,302 |
2,076 |
$81K |
| 92083 |
|
1,491 |
1,462 |
$66K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,575 |
2,385 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
523 |
522 |
$44K |
| 92557 |
|
1,498 |
1,488 |
$44K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,813 |
1,844 |
$36K |
| 99215 |
Prolong outpt/office vis |
275 |
272 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
304 |
303 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
196 |
167 |
$15K |
| 92553 |
|
397 |
396 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
146 |
146 |
$12K |
| 96111 |
|
142 |
141 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,302 |
1,254 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
823 |
800 |
$6K |
| 92081 |
|
319 |
308 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
426 |
385 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
47 |
46 |
$4K |
| 86403 |
|
713 |
682 |
$4K |
| 92567 |
|
161 |
157 |
$2K |
| 90461 |
|
86 |
86 |
$2K |
| 87070 |
|
302 |
295 |
$1K |
| 86328 |
|
51 |
26 |
$1K |
| 87807 |
|
195 |
189 |
$1K |
| 90686 |
|
310 |
310 |
$1K |
| 90733 |
|
15 |
15 |
$997.58 |
| 0003A |
|
16 |
16 |
$611.92 |
| 0071A |
|
14 |
14 |
$422.04 |
| 99173 |
|
269 |
268 |
$365.00 |
| 0072A |
|
12 |
12 |
$361.99 |
| 99174 |
|
57 |
55 |
$213.39 |
| 91300 |
|
17 |
17 |
$100.90 |
| 96127 |
|
61 |
61 |
$97.69 |
| 91307 |
|
23 |
20 |
$5.40 |
| 99000 |
|
30 |
27 |
$0.00 |
| 99177 |
|
14 |
14 |
$0.00 |
| 99072 |
|
64 |
58 |
$0.00 |