| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,121 |
9,291 |
$537K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,889 |
5,441 |
$506K |
| 87428 |
|
1,259 |
1,225 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,004 |
949 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
789 |
761 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
972 |
956 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
721 |
686 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
564 |
531 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,335 |
2,242 |
$31K |
| 92551 |
|
2,789 |
2,655 |
$18K |
| 90686 |
|
1,262 |
1,229 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,451 |
693 |
$15K |
| 99173 |
|
2,124 |
2,016 |
$8K |
| 90461 |
|
95 |
95 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
123 |
117 |
$3K |
| 90670 |
|
307 |
298 |
$3K |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$2K |
| 90698 |
|
190 |
187 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
43 |
$1K |
| 90680 |
|
160 |
159 |
$1K |
| 87400 |
|
255 |
122 |
$1K |
| 90651 |
|
81 |
81 |
$1K |
| 90656 |
|
61 |
60 |
$1K |
| 96127 |
|
343 |
323 |
$1K |
| 90671 |
|
94 |
91 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$352.00 |
| 87430 |
|
27 |
26 |
$350.00 |
| 36416 |
|
126 |
114 |
$273.50 |
| 90672 |
|
13 |
13 |
$257.27 |
| 90734 |
|
13 |
13 |
$257.27 |
| 90744 |
|
28 |
28 |
$224.00 |
| 90688 |
|
12 |
12 |
$196.24 |
| 99177 |
|
339 |
326 |
$0.00 |
| 92081 |
|
23 |
20 |
$0.00 |