| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,835 |
2,475 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
398 |
354 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,093 |
1,378 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
275 |
254 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
265 |
238 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
756 |
676 |
$4K |
| 90686 |
|
955 |
878 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
394 |
346 |
$2K |
| 90648 |
|
275 |
257 |
$1K |
| 90677 |
|
49 |
45 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
247 |
93 |
$833.76 |
| 90723 |
|
196 |
186 |
$791.52 |
| 92551 |
|
241 |
216 |
$767.88 |
| 90681 |
|
125 |
115 |
$582.00 |
| 99199 |
Unlisted special service, procedure or report |
499 |
361 |
$399.75 |
| 90633 |
|
110 |
104 |
$372.48 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
99 |
94 |
$312.61 |
| 87081 |
|
581 |
453 |
$227.64 |
| 99080 |
|
102 |
40 |
$200.00 |
| 99173 |
|
338 |
291 |
$127.40 |
| 96127 |
|
123 |
118 |
$113.04 |
| 96161 |
|
141 |
131 |
$44.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
48 |
47 |
$26.58 |
| 90670 |
|
200 |
191 |
$23.28 |
| 90734 |
|
14 |
13 |
$23.28 |
| 90700 |
|
19 |
18 |
$23.28 |
| 90651 |
|
19 |
17 |
$23.28 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
76 |
59 |
$0.00 |
| 90716 |
|
45 |
42 |
$0.00 |