| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,628 |
1,414 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
716 |
605 |
$45K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
857 |
800 |
$13K |
| 92552 |
|
154 |
150 |
$2K |
| 99402 |
|
209 |
206 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
96 |
74 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
318 |
314 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
97 |
75 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$1K |
| G0268 |
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing |
53 |
50 |
$1K |
| 92551 |
|
135 |
126 |
$764.81 |
| 36410 |
|
17 |
16 |
$424.48 |
| 69210 |
|
14 |
14 |
$404.18 |
| 90686 |
|
153 |
141 |
$369.17 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
25 |
$160.35 |
| 99177 |
|
280 |
245 |
$119.70 |
| 99408 |
|
12 |
12 |
$111.48 |
| 96127 |
|
50 |
40 |
$73.92 |
| 99173 |
|
30 |
29 |
$36.79 |
| 90461 |
|
13 |
13 |
$19.62 |
| 97803 |
|
24 |
24 |
$19.18 |
| 99401 |
|
21 |
21 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |