| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,070 |
1,736 |
$74K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,319 |
1,260 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
310 |
283 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
178 |
176 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
368 |
333 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
409 |
398 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
28 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
262 |
227 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
55 |
$2K |
| 90461 |
|
213 |
192 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
70 |
$958.41 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$245.40 |
| 90686 |
|
302 |
301 |
$17.93 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
37 |
30 |
$0.00 |
| 90672 |
|
117 |
117 |
$0.00 |
| 90670 |
|
26 |
26 |
$0.00 |
| 90685 |
|
28 |
28 |
$0.00 |
| 90658 |
|
17 |
17 |
$0.00 |
| 87420 |
|
12 |
12 |
$0.00 |