| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,449 |
1,334 |
$133K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,195 |
714 |
$39K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
170 |
165 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
124 |
119 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
61 |
$6K |
| 96127 |
|
199 |
199 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$3K |
| 90461 |
|
126 |
42 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
26 |
$997.11 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
40 |
$640.52 |
| 87081 |
|
27 |
27 |
$246.24 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$186.12 |