| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,588 |
5,195 |
$201K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,675 |
3,644 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
964 |
871 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
846 |
767 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
896 |
814 |
$62K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
702 |
635 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
424 |
405 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
368 |
356 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
644 |
307 |
$8K |
| 90461 |
|
2,275 |
1,789 |
$6K |
| 92551 |
|
672 |
658 |
$4K |
| 99381 |
|
71 |
65 |
$4K |
| 99383 |
|
33 |
28 |
$3K |
| 92552 |
|
200 |
169 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
36 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
132 |
126 |
$2K |
| 86328 |
|
13 |
12 |
$547.60 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
83 |
83 |
$438.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
56 |
52 |
$276.76 |
| 90671 |
|
726 |
669 |
$243.14 |
| 87807 |
|
18 |
16 |
$154.00 |
| 90697 |
|
501 |
462 |
$2.62 |
| 90686 |
|
448 |
429 |
$0.07 |
| 90656 |
|
220 |
210 |
$0.05 |
| 99072 |
|
689 |
605 |
$0.00 |
| 90707 |
|
200 |
155 |
$0.00 |
| 90633 |
|
187 |
181 |
$0.00 |
| 90672 |
|
13 |
13 |
$0.00 |
| 99173 |
|
879 |
819 |
$0.00 |
| 90670 |
|
41 |
40 |
$0.00 |
| 90658 |
|
64 |
64 |
$0.00 |
| 90734 |
|
197 |
169 |
$0.00 |
| 90715 |
|
118 |
102 |
$0.00 |
| 90651 |
|
208 |
170 |
$0.00 |
| 90660 |
|
29 |
28 |
$0.00 |
| 90680 |
|
403 |
364 |
$0.00 |
| 90716 |
|
189 |
147 |
$0.00 |
| 96127 |
|
36 |
36 |
$0.00 |