| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
978 |
923 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
175 |
175 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
268 |
258 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
969 |
467 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
71 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
244 |
237 |
$4K |
| 92588 |
|
308 |
308 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
148 |
74 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
295 |
247 |
$2K |
| 92587 |
|
492 |
488 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
33 |
33 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$209.26 |
| 96160 |
|
40 |
40 |
$45.50 |
| 90686 |
|
124 |
123 |
$0.01 |
| 96127 |
|
27 |
27 |
$0.00 |
| 1220F |
|
68 |
68 |
$0.00 |
| 1033F |
|
856 |
850 |
$0.00 |
| 99173 |
|
501 |
500 |
$0.00 |