| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,239 |
3,005 |
$171K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,589 |
843 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
254 |
250 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
250 |
212 |
$15K |
| 87428 |
|
208 |
202 |
$10K |
| 90461 |
|
340 |
302 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
84 |
80 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
103 |
98 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
70 |
68 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
548 |
540 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
204 |
103 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$2K |
| 99050 |
|
65 |
64 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
108 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$1K |
| 0072A |
|
15 |
15 |
$558.30 |
| 92587 |
|
12 |
12 |
$552.89 |
| 87807 |
|
52 |
50 |
$421.07 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31 |
16 |
$328.98 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$223.73 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
12 |
$212.17 |
| 96127 |
|
72 |
67 |
$209.40 |
| 96161 |
|
53 |
45 |
$160.30 |
| 99000 |
|
52 |
51 |
$150.45 |
| 96160 |
|
38 |
38 |
$117.96 |
| 90686 |
|
61 |
49 |
$29.50 |
| 99173 |
|
13 |
13 |
$28.21 |