| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,701 |
2,426 |
$170K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,316 |
1,235 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,833 |
1,605 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
166 |
165 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
228 |
190 |
$10K |
| 90461 |
|
218 |
210 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
84 |
73 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
492 |
444 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
41 |
$4K |
| 96127 |
|
714 |
670 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
91 |
87 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
62 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$1K |
| 0072A |
|
31 |
30 |
$1K |
| 81002 |
|
477 |
458 |
$1K |
| 0071A |
|
21 |
21 |
$826.95 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
18 |
$783.35 |
| 99050 |
|
16 |
14 |
$493.47 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
19 |
$214.88 |
| 90686 |
|
196 |
195 |
$94.25 |
| 91307 |
|
17 |
16 |
$3.68 |