| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,180 |
2,810 |
$162K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,037 |
1,830 |
$77K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,693 |
2,565 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
917 |
802 |
$57K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
461 |
457 |
$29K |
| 92552 |
|
2,087 |
2,053 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,287 |
1,269 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
367 |
359 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
296 |
290 |
$19K |
| 90461 |
|
413 |
403 |
$5K |
| 90686 |
|
473 |
463 |
$4K |
| 99173 |
|
1,336 |
1,302 |
$3K |
| 99188 |
|
161 |
160 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
39 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
46 |
44 |
$2K |
| 90688 |
|
28 |
28 |
$433.26 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$311.58 |
| 90687 |
|
13 |
13 |
$192.22 |
| 0071A |
|
14 |
14 |
$131.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$37.25 |
| 91307 |
|
32 |
28 |
$1.00 |
| 99072 |
|
13 |
13 |
$0.00 |