| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,310 |
12,129 |
$1.42M |
| 99050 |
|
8,188 |
5,882 |
$170K |
| 69210 |
|
3,938 |
3,878 |
$169K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,725 |
3,524 |
$155K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,193 |
2,990 |
$134K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,210 |
3,873 |
$130K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,741 |
2,649 |
$104K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
888 |
866 |
$99K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,831 |
5,366 |
$91K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
749 |
735 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
459 |
449 |
$46K |
| 99401 |
|
1,960 |
1,910 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
274 |
231 |
$25K |
| 94664 |
|
1,141 |
1,109 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
639 |
618 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
119 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
96 |
94 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
103 |
99 |
$2K |
| 0071A |
|
55 |
55 |
$2K |
| 0072A |
|
43 |
43 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
81 |
76 |
$889.30 |
| 91321 |
|
14 |
12 |
$740.00 |
| 90686 |
|
1,445 |
1,399 |
$713.93 |
| 0003A |
|
16 |
16 |
$684.00 |
| 0124A |
|
15 |
15 |
$560.03 |
| 0001A |
|
12 |
12 |
$488.00 |
| 99188 |
|
27 |
26 |
$473.18 |
| 90651 |
|
122 |
111 |
$239.33 |
| 90672 |
|
49 |
49 |
$195.31 |
| 90620 |
|
124 |
119 |
$184.42 |
| 90734 |
|
81 |
73 |
$126.50 |
| 91307 |
|
31 |
31 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |
| 90698 |
|
13 |
12 |
$0.00 |
| 90670 |
|
103 |
101 |
$0.00 |
| 90685 |
|
67 |
67 |
$0.00 |