| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
513 |
477 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
184 |
182 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
159 |
158 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
324 |
161 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
322 |
160 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
46 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
229 |
220 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
16 |
$665.76 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
80 |
68 |
$584.66 |
| 96160 |
|
65 |
65 |
$82.60 |
| 90661 |
|
13 |
13 |
$13.00 |
| 96127 |
|
65 |
65 |
$0.00 |