| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,839 |
1,680 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
818 |
741 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
438 |
428 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,935 |
2,831 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
275 |
273 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
276 |
264 |
$22K |
| 90686 |
|
1,069 |
1,047 |
$20K |
| 90461 |
|
1,179 |
1,125 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,805 |
1,702 |
$7K |
| 99177 |
|
1,802 |
1,784 |
$5K |
| 99173 |
|
1,581 |
1,491 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
104 |
99 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
77 |
71 |
$3K |
| 90698 |
|
94 |
91 |
$2K |
| 90670 |
|
85 |
80 |
$2K |
| 96127 |
|
543 |
530 |
$1K |
| 90685 |
|
52 |
52 |
$1K |
| 90680 |
|
26 |
25 |
$517.17 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$274.08 |
| 90677 |
|
13 |
13 |
$243.72 |
| 96161 |
|
24 |
24 |
$22.56 |