| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,642 |
4,272 |
$169K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,222 |
3,023 |
$165K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,241 |
1,232 |
$88K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,099 |
1,091 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,516 |
3,910 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
838 |
784 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
540 |
540 |
$49K |
| 87428 |
|
455 |
436 |
$29K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
729 |
679 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,832 |
2,224 |
$23K |
| 92551 |
|
2,492 |
2,478 |
$23K |
| 90461 |
|
2,770 |
1,383 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
498 |
247 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
429 |
416 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
226 |
225 |
$5K |
| S8301 |
Infection control supplies, not otherwise specified |
693 |
644 |
$4K |
| 99429 |
|
106 |
106 |
$3K |
| 99001 |
|
533 |
523 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
303 |
300 |
$2K |
| 99383 |
|
12 |
12 |
$992.75 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$738.72 |
| 92552 |
|
17 |
17 |
$448.46 |
| 99188 |
|
69 |
69 |
$94.50 |
| 90686 |
|
1,707 |
1,700 |
$1.66 |
| 90619 |
|
18 |
18 |
$0.13 |
| 90670 |
|
651 |
645 |
$0.08 |
| 90677 |
|
13 |
13 |
$0.07 |
| 90651 |
|
160 |
157 |
$0.06 |
| 90744 |
|
181 |
177 |
$0.05 |
| 90734 |
|
40 |
39 |
$0.04 |
| 90715 |
|
29 |
28 |
$0.03 |
| 90707 |
|
172 |
169 |
$0.03 |
| 90680 |
|
282 |
280 |
$0.03 |
| 90716 |
|
171 |
168 |
$0.03 |
| 90633 |
|
266 |
262 |
$0.02 |
| 99173 |
|
2,418 |
2,400 |
$0.00 |
| 99072 |
|
123 |
120 |
$0.00 |
| 90698 |
|
414 |
410 |
$0.00 |
| 99070 |
|
35 |
35 |
$0.00 |
| 90656 |
|
152 |
152 |
$0.00 |