| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,127 |
3,560 |
$194K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,125 |
1,536 |
$156K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,847 |
1,659 |
$142K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,981 |
1,673 |
$132K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,238 |
943 |
$91K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
622 |
457 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,531 |
1,121 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
991 |
777 |
$25K |
| 90670 |
|
881 |
757 |
$19K |
| 90686 |
|
1,518 |
1,222 |
$18K |
| 36416 |
|
4,367 |
3,347 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,263 |
1,080 |
$16K |
| 96127 |
|
923 |
660 |
$13K |
| 90700 |
|
1,038 |
841 |
$12K |
| 90648 |
|
1,037 |
848 |
$12K |
| 85018 |
|
4,564 |
3,355 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
329 |
294 |
$10K |
| 90713 |
|
691 |
562 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
232 |
222 |
$8K |
| 90651 |
|
208 |
166 |
$7K |
| 90680 |
|
449 |
383 |
$6K |
| 0071A |
|
129 |
61 |
$5K |
| 0072A |
|
122 |
83 |
$5K |
| 90677 |
|
106 |
84 |
$4K |
| 83655 |
|
283 |
188 |
$3K |
| 90633 |
|
175 |
142 |
$3K |
| 90716 |
|
90 |
53 |
$2K |
| 90734 |
|
102 |
72 |
$2K |
| 0111A |
|
46 |
29 |
$2K |
| 90744 |
|
111 |
99 |
$1K |
| 90707 |
|
89 |
49 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
71 |
$1K |
| 91311 |
|
77 |
32 |
$1K |
| 90685 |
|
118 |
88 |
$1K |
| 0112A |
|
21 |
13 |
$877.80 |
| 90619 |
|
52 |
43 |
$844.02 |
| 90621 |
|
35 |
27 |
$642.86 |
| 90715 |
|
29 |
26 |
$387.64 |
| 90710 |
|
17 |
16 |
$284.07 |
| 87807 |
|
17 |
16 |
$160.96 |
| 83718 |
|
14 |
13 |
$105.12 |
| 81002 |
|
34 |
30 |
$88.40 |
| 82465 |
|
14 |
13 |
$59.36 |
| G0008 |
Administration of influenza virus vaccine |
51 |
45 |
$0.51 |
| 99072 |
|
845 |
758 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
26 |
26 |
$0.00 |