| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,218 |
3,609 |
$126K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
930 |
869 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
957 |
800 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
682 |
639 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,550 |
1,447 |
$13K |
| 3008F |
|
779 |
738 |
$7K |
| 90677 |
|
266 |
249 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
205 |
165 |
$2K |
| 90672 |
|
68 |
64 |
$2K |
| 90661 |
|
76 |
72 |
$1K |
| 90674 |
|
98 |
91 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
46 |
28 |
$923.58 |
| 90670 |
|
149 |
139 |
$885.74 |
| 90686 |
|
271 |
258 |
$821.33 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$731.76 |
| 90697 |
|
37 |
37 |
$531.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
26 |
$522.24 |
| 0072A |
|
18 |
12 |
$457.92 |
| 90680 |
|
27 |
26 |
$227.94 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
244 |
225 |
$38.81 |
| 90698 |
|
16 |
13 |
$36.51 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
349 |
349 |
$0.00 |
| 90461 |
|
107 |
98 |
$0.00 |
| 99177 |
|
87 |
84 |
$0.00 |