| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,964 |
14,450 |
$863K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,567 |
4,279 |
$375K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,027 |
2,995 |
$244K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,945 |
1,939 |
$172K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,838 |
7,765 |
$109K |
| 90461 |
|
4,427 |
4,392 |
$101K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
472 |
469 |
$45K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,107 |
1,565 |
$43K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
401 |
398 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
604 |
575 |
$8K |
| 81003 |
|
2,795 |
2,707 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
45 |
43 |
$5K |
| 85018 |
|
1,835 |
1,818 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
51 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 87807 |
|
54 |
52 |
$702.58 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18 |
17 |
$134.94 |
| 90686 |
|
2,930 |
2,893 |
$6.66 |
| 90680 |
|
707 |
702 |
$0.00 |
| 90647 |
|
1,244 |
1,226 |
$0.00 |
| 90723 |
|
1,258 |
1,241 |
$0.00 |
| 90716 |
|
201 |
197 |
$0.00 |
| 90670 |
|
2,195 |
2,165 |
$0.00 |
| 90633 |
|
335 |
331 |
$0.00 |
| 90707 |
|
187 |
187 |
$0.00 |
| 90681 |
|
105 |
104 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |