| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,367 |
4,127 |
$309K |
| 99199 |
Unlisted special service, procedure or report |
45,795 |
24,903 |
$191K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,834 |
1,307 |
$130K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,415 |
1,125 |
$25K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
481 |
366 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,079 |
837 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
67 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
686 |
301 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
81 |
57 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
104 |
88 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
71 |
67 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
207 |
166 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
120 |
90 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
39 |
$5K |
| 87070 |
|
412 |
297 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
363 |
264 |
$3K |
| 87807 |
|
24 |
13 |
$339.12 |
| 92551 |
|
669 |
513 |
$262.40 |
| 99173 |
|
863 |
651 |
$138.78 |
| 96127 |
|
33 |
31 |
$131.75 |
| 90688 |
|
32 |
29 |
$65.40 |
| 90686 |
|
166 |
137 |
$18.80 |
| 81002 |
|
14 |
13 |
$15.75 |
| 99000 |
|
350 |
259 |
$0.00 |