| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,433 |
1,272 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
498 |
478 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
502 |
493 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
519 |
483 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,100 |
1,067 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
258 |
254 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
257 |
251 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
39 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
265 |
262 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
112 |
56 |
$628.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
55 |
$287.08 |
| 90670 |
|
39 |
39 |
$227.52 |
| 90473 |
|
23 |
18 |
$226.88 |
| S9451 |
Exercise classes, non-physician provider, per session |
249 |
248 |
$155.98 |
| 97802 |
|
225 |
224 |
$61.24 |
| 96127 |
|
281 |
274 |
$5.17 |
| 90651 |
|
12 |
12 |
$0.00 |