| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,962 |
13,579 |
$781K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,733 |
2,525 |
$209K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,861 |
2,610 |
$195K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,155 |
2,093 |
$179K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,078 |
2,003 |
$156K |
| 90670 |
|
2,155 |
1,961 |
$34K |
| 90651 |
|
1,120 |
1,051 |
$30K |
| 90698 |
|
1,775 |
1,615 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
995 |
931 |
$16K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
383 |
368 |
$16K |
| 90716 |
|
1,121 |
1,039 |
$16K |
| 90707 |
|
1,139 |
1,045 |
$14K |
| 90734 |
|
840 |
777 |
$14K |
| 90680 |
|
1,395 |
1,273 |
$14K |
| 90700 |
|
1,088 |
1,016 |
$12K |
| 90686 |
|
1,098 |
996 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
879 |
769 |
$11K |
| 90633 |
|
1,014 |
925 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
449 |
250 |
$10K |
| 90744 |
|
1,069 |
971 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
522 |
444 |
$8K |
| 90713 |
|
497 |
457 |
$6K |
| 90715 |
|
503 |
473 |
$6K |
| 90619 |
|
289 |
284 |
$5K |
| 90677 |
|
188 |
185 |
$5K |
| 99383 |
|
27 |
27 |
$3K |
| 99381 |
|
28 |
27 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$974.30 |
| 83655 |
|
59 |
49 |
$699.74 |
| 96127 |
|
63 |
63 |
$689.80 |
| 90648 |
|
65 |
57 |
$549.79 |
| 36416 |
|
58 |
47 |
$184.50 |
| 85018 |
|
61 |
51 |
$141.52 |
| 99173 |
|
18 |
17 |
$134.10 |
| 86580 |
|
33 |
27 |
$132.00 |
| 90685 |
|
17 |
13 |
$108.80 |