| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,056 |
1,847 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,361 |
1,237 |
$73K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
878 |
392 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
120 |
120 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
218 |
199 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
326 |
158 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
52 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
183 |
172 |
$3K |
| 92587 |
|
170 |
164 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 99429 |
|
41 |
41 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
116 |
88 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
57 |
48 |
$615.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$340.50 |
| 97803 |
|
200 |
194 |
$56.50 |
| 90461 |
|
129 |
111 |
$0.00 |
| 90686 |
|
50 |
48 |
$0.00 |
| 96127 |
|
41 |
39 |
$0.00 |
| 90677 |
|
39 |
39 |
$0.00 |