| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,245 |
2,877 |
$122K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
278 |
275 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,868 |
779 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
160 |
158 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
96 |
96 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
295 |
148 |
$4K |
| 90461 |
|
425 |
371 |
$3K |
| 87428 |
|
33 |
33 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
81 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$887.96 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
84 |
68 |
$715.73 |
| 92552 |
|
15 |
15 |
$53.56 |
| 90688 |
|
181 |
180 |
$0.47 |
| 90687 |
|
31 |
31 |
$0.02 |
| 90710 |
|
12 |
12 |
$0.01 |
| 99173 |
|
181 |
181 |
$0.00 |
| 90670 |
|
113 |
111 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90680 |
|
30 |
30 |
$0.00 |