| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
844 |
767 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
222 |
219 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
212 |
211 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
251 |
240 |
$13K |
| 99215 |
Prolong outpt/office vis |
155 |
152 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
509 |
492 |
$11K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
80 |
79 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
157 |
153 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
39 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
32 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
362 |
354 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
126 |
114 |
$2K |
| 87634 |
|
31 |
30 |
$2K |
| 92551 |
|
259 |
257 |
$2K |
| 99173 |
|
307 |
299 |
$1K |
| 96127 |
|
160 |
155 |
$600.90 |
| 95117 |
|
54 |
30 |
$336.00 |
| 96160 |
|
176 |
174 |
$21.23 |
| 96161 |
|
12 |
12 |
$13.92 |
| 90686 |
|
76 |
75 |
$0.00 |