| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
519 |
425 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
777 |
559 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
84 |
80 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
66 |
51 |
$4K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
42 |
40 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
69 |
68 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
341 |
194 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$931.14 |
| 90686 |
|
203 |
149 |
$786.99 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
77 |
63 |
$711.97 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
14 |
$451.62 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21 |
14 |
$53.46 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
12 |
$26.40 |
| 36415 |
Collection of venous blood by venipuncture |
52 |
37 |
$20.79 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
31 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
12 |
12 |
$0.00 |