| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,411 |
4,050 |
$288K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,985 |
2,934 |
$57K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
704 |
704 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
403 |
385 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
411 |
411 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
126 |
121 |
$10K |
| 99401 |
|
1,009 |
981 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
181 |
178 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
267 |
259 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
47 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
348 |
199 |
$4K |
| 92551 |
|
344 |
343 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
689 |
643 |
$2K |
| 81002 |
|
509 |
505 |
$685.14 |
| 0072A |
|
14 |
14 |
$518.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
104 |
103 |
$475.39 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
82 |
80 |
$459.52 |
| 99173 |
|
575 |
571 |
$449.60 |
| 91307 |
|
33 |
30 |
$8.10 |
| S9470 |
Nutritional counseling, dietitian visit |
12 |
12 |
$0.00 |
| 90461 |
|
15 |
14 |
$0.00 |
| 94760 |
|
605 |
586 |
$0.00 |