| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,854 |
4,152 |
$224K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
966 |
760 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
646 |
491 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,295 |
1,985 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
238 |
220 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
429 |
413 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
160 |
140 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
142 |
123 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
430 |
233 |
$7K |
| 90670 |
|
333 |
266 |
$7K |
| 87428 |
|
84 |
81 |
$5K |
| 96127 |
|
255 |
221 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
228 |
194 |
$3K |
| 90686 |
|
128 |
115 |
$1K |
| 90698 |
|
96 |
81 |
$1K |
| 90680 |
|
66 |
53 |
$851.27 |
| 87807 |
|
64 |
63 |
$643.84 |
| 81002 |
|
43 |
43 |
$111.80 |
| 90744 |
|
16 |
13 |
$102.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
82 |
46 |
$0.00 |