| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,987 |
4,153 |
$208K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
563 |
497 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,227 |
1,114 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
147 |
145 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
172 |
146 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
206 |
205 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
373 |
344 |
$4K |
| 92551 |
|
345 |
341 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$2K |
| 90461 |
|
92 |
85 |
$835.00 |
| 90656 |
|
13 |
13 |
$188.04 |
| 99173 |
|
291 |
286 |
$166.54 |
| 90686 |
|
37 |
32 |
$102.19 |