| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,200 |
1,105 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
314 |
269 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
346 |
274 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
68 |
40 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
65 |
58 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
165 |
147 |
$2K |
| 96127 |
|
136 |
125 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
28 |
$931.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$359.10 |
| 90686 |
|
13 |
12 |
$200.52 |
| 90648 |
|
28 |
12 |
$172.80 |
| 99072 |
|
157 |
138 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
77 |
39 |
$0.00 |