| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,825 |
2,283 |
$164K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
801 |
780 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
241 |
240 |
$16K |
| 90671 |
|
56 |
55 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
820 |
801 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
402 |
384 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85 |
83 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
84 |
82 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
118 |
112 |
$7K |
| 90461 |
|
196 |
191 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
36 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
261 |
253 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
48 |
34 |
$471.96 |
| 99173 |
|
303 |
297 |
$426.67 |
| 92551 |
|
44 |
42 |
$360.12 |
| 90686 |
|
244 |
243 |
$241.05 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
99 |
92 |
$234.60 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$6.00 |