| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,739 |
3,106 |
$229K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,330 |
2,020 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
626 |
569 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
838 |
764 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
86 |
86 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
134 |
125 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
256 |
210 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
295 |
281 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
192 |
187 |
$2K |
| 90686 |
|
242 |
230 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
91 |
$1K |
| 92551 |
|
84 |
83 |
$885.09 |
| 36410 |
|
36 |
32 |
$403.40 |
| 99173 |
|
83 |
78 |
$69.80 |
| 99000 |
|
135 |
121 |
$63.95 |