| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,788 |
4,088 |
$221K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,590 |
1,206 |
$109K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
850 |
685 |
$65K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,588 |
2,234 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
306 |
270 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
215 |
199 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
347 |
338 |
$12K |
| 90670 |
|
537 |
385 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
89 |
73 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
367 |
185 |
$6K |
| 90677 |
|
91 |
74 |
$6K |
| 87428 |
|
64 |
56 |
$4K |
| 90698 |
|
268 |
198 |
$4K |
| 96127 |
|
196 |
171 |
$3K |
| 90680 |
|
182 |
151 |
$3K |
| 90686 |
|
138 |
125 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
120 |
109 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
14 |
$747.34 |
| 90744 |
|
52 |
43 |
$631.79 |
| 87807 |
|
47 |
47 |
$472.82 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$384.75 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
53 |
32 |
$0.00 |