| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,068 |
13,487 |
$554K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,853 |
2,828 |
$256K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,497 |
2,475 |
$207K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,263 |
2,239 |
$178K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,185 |
6,283 |
$130K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,253 |
1,241 |
$96K |
| 99429 |
|
2,932 |
2,902 |
$79K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,841 |
1,781 |
$73K |
| 87428 |
|
1,135 |
1,109 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,367 |
3,223 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,608 |
4,560 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,568 |
1,250 |
$34K |
| 92587 |
|
1,937 |
1,918 |
$19K |
| 90461 |
|
3,432 |
2,836 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
291 |
281 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,676 |
1,606 |
$14K |
| 0001A |
|
274 |
269 |
$10K |
| 99381 |
|
125 |
125 |
$10K |
| 0002A |
|
222 |
220 |
$9K |
| 99383 |
|
61 |
61 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
57 |
57 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
177 |
172 |
$4K |
| 0071A |
|
93 |
90 |
$4K |
| 87807 |
|
279 |
270 |
$3K |
| 0072A |
|
71 |
68 |
$3K |
| 99382 |
|
25 |
25 |
$2K |
| 0003A |
|
19 |
19 |
$760.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$613.39 |
| 90686 |
|
2,101 |
2,094 |
$35.95 |
| 90697 |
|
373 |
373 |
$0.00 |
| 90698 |
|
363 |
361 |
$0.00 |
| 90744 |
|
129 |
128 |
$0.00 |
| 90651 |
|
1,042 |
1,036 |
$0.00 |
| 90716 |
|
158 |
156 |
$0.00 |
| 90680 |
|
779 |
777 |
$0.00 |
| 90696 |
|
219 |
217 |
$0.00 |
| 90677 |
|
270 |
269 |
$0.00 |
| 91307 |
|
177 |
161 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| 3008F |
|
29 |
29 |
$0.00 |
| G9920 |
Screening performed and negative |
4,229 |
4,178 |
$0.00 |
| 90670 |
|
977 |
974 |
$0.00 |
| 90633 |
|
854 |
846 |
$0.00 |
| 90671 |
|
81 |
81 |
$0.00 |
| 99173 |
|
1,925 |
1,915 |
$0.00 |
| 90734 |
|
1,125 |
1,118 |
$0.00 |
| 90700 |
|
151 |
150 |
$0.00 |
| 90710 |
|
439 |
436 |
$0.00 |
| 90715 |
|
311 |
308 |
$0.00 |
| 90707 |
|
154 |
152 |
$0.00 |
| 91300 |
|
549 |
498 |
$0.00 |
| 90648 |
|
45 |
45 |
$0.00 |
| 90681 |
|
16 |
16 |
$0.00 |