| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,466 |
1,312 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
728 |
660 |
$34K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
674 |
631 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,353 |
1,195 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
198 |
197 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
116 |
116 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
790 |
659 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
73 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
378 |
176 |
$5K |
| 92551 |
|
205 |
205 |
$2K |
| 99429 |
|
38 |
37 |
$1K |
| 90461 |
|
168 |
140 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
78 |
$1K |
| 90686 |
|
444 |
443 |
$0.00 |
| 90620 |
|
30 |
30 |
$0.00 |
| 99173 |
|
141 |
141 |
$0.00 |