| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,239 |
8,949 |
$561K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,761 |
6,298 |
$232K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,649 |
2,367 |
$198K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,274 |
2,148 |
$186K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,106 |
1,009 |
$86K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
787 |
746 |
$66K |
| 99070 |
|
3,644 |
3,327 |
$44K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
561 |
449 |
$30K |
| 90461 |
|
625 |
585 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
158 |
148 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
412 |
374 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
463 |
423 |
$6K |
| 90680 |
|
712 |
668 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
29 |
$3K |
| 90670 |
|
1,404 |
1,320 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
349 |
250 |
$2K |
| 87301 |
|
296 |
273 |
$2K |
| 99383 |
|
13 |
13 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
81 |
78 |
$2K |
| 99384 |
|
15 |
14 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
175 |
166 |
$1K |
| 87807 |
|
276 |
238 |
$1K |
| 90686 |
|
412 |
392 |
$841.20 |
| 90685 |
|
186 |
175 |
$616.84 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
102 |
94 |
$600.61 |
| 36416 |
|
194 |
167 |
$498.63 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
13 |
$447.09 |
| 96127 |
|
91 |
82 |
$372.62 |
| 90647 |
|
153 |
145 |
$271.63 |
| 88720 |
|
98 |
67 |
$220.42 |
| 94760 |
|
123 |
106 |
$214.41 |
| 90698 |
|
504 |
474 |
$133.32 |
| 90710 |
|
125 |
118 |
$133.32 |
| 90672 |
|
91 |
83 |
$111.11 |
| 99000 |
|
2,899 |
2,595 |
$1.58 |
| 90677 |
|
32 |
31 |
$0.15 |
| 91307 |
|
24 |
16 |
$0.06 |
| 90671 |
|
68 |
66 |
$0.04 |
| 90651 |
|
43 |
39 |
$0.03 |
| 90744 |
|
87 |
81 |
$0.00 |
| 90660 |
|
12 |
12 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90697 |
|
42 |
41 |
$0.00 |
| 90619 |
|
40 |
37 |
$0.00 |
| 90696 |
|
46 |
41 |
$0.00 |
| 90633 |
|
562 |
528 |
$0.00 |
| 99173 |
|
80 |
77 |
$0.00 |
| 90707 |
|
15 |
12 |
$0.00 |
| 99072 |
|
143 |
127 |
$0.00 |
| 90715 |
|
30 |
30 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |