| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,583 |
1,398 |
$115K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
282 |
262 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
100 |
100 |
$8K |
| 92552 |
|
217 |
215 |
$7K |
| 90677 |
|
89 |
88 |
$4K |
| 90656 |
|
132 |
131 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
43 |
43 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 90697 |
|
59 |
58 |
$998.00 |
| 99173 |
|
327 |
326 |
$800.28 |
| 36415 |
Collection of venous blood by venipuncture |
185 |
176 |
$546.13 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
57 |
50 |
$504.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
28 |
$388.08 |
| 99000 |
|
859 |
815 |
$349.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
865 |
850 |
$265.32 |
| 90686 |
|
12 |
12 |
$200.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$180.18 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
339 |
315 |
$117.13 |
| 96160 |
|
12 |
12 |
$4.58 |
| 94760 |
|
1,298 |
1,183 |
$0.22 |