| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
256 |
183 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
168 |
136 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
125 |
87 |
$2K |
| 92587 |
|
94 |
84 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
53 |
31 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
45 |
39 |
$870.51 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
13 |
$388.95 |
| 92551 |
|
41 |
32 |
$355.92 |
| 99177 |
|
35 |
30 |
$261.90 |
| 90461 |
|
24 |
16 |
$194.26 |
| 96127 |
|
68 |
46 |
$123.40 |
| 90656 |
|
16 |
16 |
$67.05 |
| 99173 |
|
39 |
32 |
$21.70 |
| 96161 |
|
16 |
12 |
$21.49 |