| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,930 |
1,852 |
$165K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
645 |
620 |
$104K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
547 |
539 |
$42K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
661 |
659 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
519 |
273 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
56 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
356 |
354 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
42 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
205 |
205 |
$5K |
| 96127 |
|
260 |
260 |
$4K |
| 99051 |
|
196 |
195 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
31 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
96 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
220 |
220 |
$3K |
| 87081 |
|
374 |
373 |
$3K |
| 90461 |
|
85 |
24 |
$2K |
| 99188 |
|
13 |
13 |
$699.40 |