| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,711 |
25,147 |
$1.68M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,370 |
5,245 |
$410K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,331 |
3,238 |
$250K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,501 |
3,076 |
$238K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,495 |
1,464 |
$122K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,367 |
9,201 |
$97K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,606 |
2,454 |
$93K |
| 92551 |
|
8,524 |
8,273 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
928 |
891 |
$81K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,921 |
1,845 |
$67K |
| 90670 |
|
2,397 |
2,304 |
$61K |
| 90686 |
|
5,118 |
4,964 |
$59K |
| 99188 |
|
2,447 |
2,390 |
$48K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,362 |
1,300 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,193 |
3,021 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,217 |
12,613 |
$29K |
| 90716 |
|
1,068 |
1,029 |
$26K |
| 90651 |
|
588 |
578 |
$25K |
| 90633 |
|
1,656 |
1,597 |
$21K |
| 99173 |
|
8,506 |
8,257 |
$20K |
| 90680 |
|
1,159 |
1,099 |
$19K |
| 90707 |
|
986 |
945 |
$18K |
| 90734 |
|
412 |
402 |
$12K |
| 90700 |
|
929 |
908 |
$11K |
| 96127 |
|
2,382 |
2,320 |
$11K |
| 90698 |
|
613 |
587 |
$10K |
| 99381 |
|
148 |
132 |
$9K |
| 90461 |
|
5,734 |
5,461 |
$9K |
| 87430 |
|
614 |
603 |
$8K |
| 90648 |
|
688 |
666 |
$7K |
| 90671 |
|
83 |
80 |
$6K |
| 99383 |
|
76 |
73 |
$6K |
| 99422 |
|
244 |
230 |
$5K |
| 90621 |
|
172 |
165 |
$5K |
| 90656 |
|
320 |
309 |
$5K |
| 3008F |
|
2,913 |
2,805 |
$5K |
| 90713 |
|
326 |
312 |
$4K |
| 0072A |
|
102 |
101 |
$4K |
| 99000 |
|
1,872 |
1,799 |
$4K |
| 0071A |
|
68 |
68 |
$3K |
| 0001A |
|
62 |
62 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
26 |
$2K |
| 0002A |
|
49 |
49 |
$2K |
| 90744 |
|
173 |
165 |
$2K |
| 99384 |
|
14 |
14 |
$1K |
| 3351F |
|
768 |
742 |
$1K |
| 90715 |
|
54 |
54 |
$947.47 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45 |
45 |
$760.80 |
| 0111A |
|
18 |
13 |
$744.00 |
| 0154A |
|
15 |
15 |
$600.00 |
| 90688 |
|
14 |
14 |
$166.48 |
| 81002 |
|
37 |
37 |
$111.02 |
| 86580 |
|
12 |
12 |
$97.86 |
| 96161 |
|
55 |
39 |
$61.79 |
| 96160 |
|
12 |
12 |
$16.09 |
| 91307 |
|
258 |
231 |
$1.66 |
| 91300 |
|
101 |
93 |
$0.66 |
| 91311 |
|
20 |
15 |
$0.13 |
| 91315 |
|
15 |
15 |
$0.00 |