| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,141 |
1,880 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
248 |
220 |
$15K |
| 87428 |
|
215 |
196 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
53 |
51 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
46 |
41 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
169 |
161 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
49 |
44 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
51 |
45 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
502 |
399 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
120 |
116 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
41 |
40 |
$2K |
| 97803 |
|
885 |
755 |
$1K |
| 87634 |
|
25 |
12 |
$780.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
25 |
$566.01 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
14 |
$491.26 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$425.28 |
| 92551 |
|
15 |
15 |
$115.78 |
| 99188 |
|
17 |
12 |
$72.15 |
| 85018 |
|
13 |
12 |
$23.36 |
| 90670 |
|
15 |
15 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 99174 |
|
18 |
15 |
$0.00 |
| 36416 |
|
19 |
15 |
$0.00 |