| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
594 |
551 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
237 |
229 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
132 |
132 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
353 |
353 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
90 |
90 |
$9K |
| 90461 |
|
188 |
188 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
53 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
55 |
54 |
$5K |
| 97802 |
|
167 |
167 |
$4K |
| 99188 |
|
186 |
186 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
201 |
201 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
120 |
117 |
$1K |
| 92583 |
|
41 |
41 |
$1K |
| 96127 |
|
106 |
99 |
$774.99 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$718.34 |
| 83655 |
|
28 |
28 |
$293.72 |
| 81002 |
|
83 |
81 |
$217.02 |
| 96161 |
|
26 |
26 |
$211.64 |
| 99177 |
|
73 |
73 |
$138.18 |
| 85014 |
|
52 |
52 |
$106.60 |
| 92551 |
|
138 |
138 |
$15.22 |
| 90686 |
|
77 |
77 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
141 |
141 |
$0.00 |
| 90716 |
|
36 |
36 |
$0.00 |
| 90696 |
|
27 |
27 |
$0.00 |
| 90698 |
|
26 |
26 |
$0.00 |
| 90651 |
|
18 |
18 |
$0.00 |
| 99173 |
|
97 |
97 |
$0.00 |
| 90670 |
|
49 |
49 |
$0.00 |
| 90633 |
|
66 |
66 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90707 |
|
36 |
36 |
$0.00 |
| 90685 |
|
15 |
15 |
$0.00 |