| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,072 |
2,777 |
$241K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
841 |
786 |
$98K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,144 |
1,136 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
240 |
240 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
109 |
109 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
224 |
217 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
262 |
259 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
37 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
60 |
57 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
141 |
134 |
$1K |
| 96127 |
|
282 |
282 |
$1K |
| 92551 |
|
92 |
92 |
$591.82 |
| 0072A |
|
12 |
12 |
$480.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
22 |
$333.50 |
| 99173 |
|
253 |
252 |
$70.02 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$62.80 |
| 96160 |
|
60 |
60 |
$10.32 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 90686 |
|
431 |
429 |
$0.00 |
| 91307 |
|
36 |
30 |
$0.00 |
| 90656 |
|
25 |
25 |
$0.00 |