| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,301 |
11,797 |
$468K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,826 |
2,812 |
$232K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,887 |
2,861 |
$225K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,074 |
8,257 |
$159K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,170 |
1,159 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,203 |
1,182 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,282 |
1,239 |
$65K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,610 |
6,279 |
$58K |
| 92587 |
|
4,062 |
4,020 |
$30K |
| 90461 |
|
6,763 |
2,771 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,693 |
827 |
$17K |
| 99050 |
|
1,220 |
1,165 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
611 |
597 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,514 |
1,458 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,474 |
1,454 |
$11K |
| 83655 |
|
887 |
874 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
295 |
274 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
415 |
404 |
$4K |
| 85018 |
|
1,008 |
981 |
$2K |
| 99381 |
|
18 |
18 |
$1K |
| 99383 |
|
14 |
14 |
$1K |
| 96160 |
|
914 |
893 |
$953.26 |
| 90480 |
|
38 |
38 |
$945.00 |
| 96127 |
|
700 |
694 |
$666.75 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$609.45 |
| 87807 |
|
60 |
58 |
$483.87 |
| 99000 |
|
46 |
46 |
$402.34 |
| 81002 |
|
141 |
125 |
$331.79 |
| 90677 |
|
281 |
277 |
$272.93 |
| 90686 |
|
3,363 |
3,347 |
$62.14 |
| 90619 |
|
118 |
117 |
$0.64 |
| 90621 |
|
113 |
110 |
$0.36 |
| 90651 |
|
1,085 |
1,076 |
$0.28 |
| 90734 |
|
142 |
139 |
$0.28 |
| 90670 |
|
1,093 |
1,083 |
$0.23 |
| 90723 |
|
480 |
475 |
$0.16 |
| 90648 |
|
1,010 |
1,002 |
$0.16 |
| 90681 |
|
376 |
371 |
$0.15 |
| 91321 |
|
31 |
31 |
$0.14 |
| 91319 |
|
21 |
21 |
$0.11 |
| 90710 |
|
998 |
987 |
$0.08 |
| 90633 |
|
967 |
961 |
$0.07 |
| 90715 |
|
43 |
42 |
$0.06 |
| 36416 |
|
1,122 |
1,088 |
$0.00 |
| 90696 |
|
320 |
317 |
$0.00 |
| 90698 |
|
100 |
100 |
$0.00 |
| 90657 |
|
34 |
34 |
$0.00 |
| 90656 |
|
94 |
94 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 99173 |
|
4,103 |
4,060 |
$0.00 |
| 90685 |
|
1,171 |
1,166 |
$0.00 |
| 90658 |
|
374 |
374 |
$0.00 |
| 90700 |
|
176 |
174 |
$0.00 |