| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,110 |
1,084 |
$103K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
785 |
783 |
$24K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
246 |
242 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
146 |
146 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
134 |
134 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
129 |
126 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
107 |
107 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
282 |
138 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
277 |
277 |
$6K |
| 99051 |
|
208 |
207 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
222 |
222 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$3K |
| 96127 |
|
103 |
103 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
33 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
14 |
$663.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$634.20 |
| 83655 |
|
27 |
27 |
$406.39 |
| 87807 |
|
13 |
13 |
$226.72 |
| 90474 |
|
14 |
14 |
$208.04 |
| 87081 |
|
13 |
13 |
$114.79 |
| 85018 |
|
12 |
12 |
$34.32 |
| 85014 |
|
12 |
12 |
$34.32 |
| 91307 |
|
12 |
12 |
$0.00 |