| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
324 |
313 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
187 |
186 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
416 |
291 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
135 |
134 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
128 |
127 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
55 |
$3K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
16 |
16 |
$2K |
| 99050 |
|
37 |
36 |
$606.55 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
57 |
57 |
$578.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
27 |
$380.80 |
| 36416 |
|
93 |
92 |
$346.17 |
| 92551 |
|
51 |
50 |
$331.54 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$329.99 |
| 90677 |
|
140 |
140 |
$284.75 |
| 99173 |
|
59 |
58 |
$138.60 |
| 96127 |
|
13 |
13 |
$87.17 |
| 85018 |
|
35 |
35 |
$65.27 |
| 96161 |
|
27 |
27 |
$59.57 |
| 90686 |
|
106 |
105 |
$1.04 |
| 90680 |
|
73 |
73 |
$0.54 |
| 90633 |
|
76 |
76 |
$0.42 |
| 90707 |
|
31 |
31 |
$0.30 |
| 90716 |
|
25 |
25 |
$0.12 |
| 90697 |
|
80 |
80 |
$0.00 |
| 90698 |
|
17 |
17 |
$0.00 |