| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,388 |
10,508 |
$1.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,705 |
2,600 |
$387K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,412 |
5,335 |
$297K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,493 |
2,359 |
$283K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,399 |
2,390 |
$274K |
| 90461 |
|
3,125 |
3,101 |
$240K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,341 |
1,337 |
$153K |
| 92558 |
|
3,209 |
3,193 |
$108K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,442 |
2,398 |
$98K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,118 |
4,026 |
$78K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,124 |
3,636 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
446 |
443 |
$51K |
| 99177 |
|
1,059 |
1,058 |
$41K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,847 |
1,821 |
$37K |
| 99173 |
|
426 |
422 |
$17K |
| 99381 |
|
40 |
38 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
68 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
43 |
$7K |
| 83655 |
|
384 |
382 |
$6K |
| 87807 |
|
277 |
275 |
$5K |
| 85018 |
|
642 |
639 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
21 |
21 |
$656.32 |
| 90648 |
|
1,162 |
1,153 |
$50.47 |
| 90633 |
|
721 |
716 |
$0.00 |
| 90734 |
|
68 |
67 |
$0.00 |
| 90671 |
|
589 |
580 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90670 |
|
14 |
13 |
$0.00 |
| 90700 |
|
52 |
52 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90672 |
|
39 |
39 |
$0.00 |
| 90651 |
|
97 |
97 |
$0.00 |
| 90677 |
|
942 |
939 |
$0.00 |
| 90680 |
|
913 |
905 |
$0.00 |
| 90723 |
|
503 |
498 |
$0.00 |
| 90656 |
|
608 |
608 |
$0.00 |
| 90698 |
|
39 |
39 |
$0.00 |
| 90686 |
|
469 |
465 |
$0.00 |
| 36416 |
|
50 |
50 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90660 |
|
17 |
17 |
$0.00 |