| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,401 |
1,249 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
310 |
308 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
309 |
305 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
631 |
582 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
163 |
163 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
205 |
200 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
58 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
200 |
194 |
$5K |
| 92587 |
|
123 |
121 |
$3K |
| 90461 |
|
14 |
14 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$1K |
| 99177 |
|
152 |
152 |
$854.13 |
| 87807 |
|
59 |
55 |
$775.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
37 |
$626.76 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$476.55 |
| 99173 |
|
125 |
123 |
$380.92 |
| 96160 |
|
56 |
56 |
$162.96 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$120.24 |
| 90656 |
|
30 |
30 |
$0.00 |
| 90677 |
|
33 |
32 |
$0.00 |
| 90680 |
|
16 |
15 |
$0.00 |
| 90698 |
|
44 |
42 |
$0.00 |