| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,778 |
11,260 |
$843K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,821 |
2,809 |
$234K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,387 |
2,380 |
$199K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,032 |
2,023 |
$142K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,772 |
4,735 |
$113K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
742 |
740 |
$66K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,036 |
5,017 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
660 |
659 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,607 |
1,554 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,506 |
802 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
173 |
169 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
477 |
469 |
$15K |
| 81002 |
|
4,573 |
4,490 |
$13K |
| 96127 |
|
1,271 |
1,266 |
$4K |
| 99381 |
|
42 |
42 |
$4K |
| 99000 |
|
210 |
205 |
$2K |
| 94150 |
|
77 |
77 |
$960.97 |
| 94010 |
|
45 |
45 |
$950.87 |
| 90671 |
|
164 |
164 |
$786.99 |
| 98966 |
|
152 |
151 |
$348.96 |
| 96160 |
|
26 |
26 |
$54.74 |
| G9007 |
Coordinated care fee, scheduled team conference |
853 |
828 |
$0.25 |
| G9002 |
Coordinated care fee, maintenance rate |
726 |
716 |
$0.24 |
| 90698 |
|
686 |
681 |
$0.00 |
| 90688 |
|
669 |
667 |
$0.00 |
| 90716 |
|
206 |
205 |
$0.00 |
| 90680 |
|
498 |
495 |
$0.00 |
| 90744 |
|
283 |
282 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 94760 |
|
18 |
17 |
$0.00 |
| 90670 |
|
1,096 |
1,089 |
$0.00 |
| 90707 |
|
223 |
222 |
$0.00 |
| 90461 |
|
1,027 |
1,023 |
$0.00 |
| 90633 |
|
83 |
83 |
$0.00 |
| 90648 |
|
74 |
73 |
$0.00 |
| 90710 |
|
55 |
55 |
$0.00 |
| 90700 |
|
44 |
44 |
$0.00 |
| 99173 |
|
43 |
43 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90734 |
|
29 |
29 |
$0.00 |