| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
797 |
756 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
983 |
857 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
428 |
410 |
$37K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
453 |
433 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
80 |
79 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
413 |
228 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
66 |
63 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
391 |
386 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
220 |
211 |
$3K |
| 96127 |
|
284 |
283 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$2K |
| 99173 |
|
54 |
53 |
$1K |
| 92551 |
|
97 |
96 |
$753.87 |
| 87807 |
|
54 |
52 |
$603.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$504.55 |
| 99188 |
|
12 |
12 |
$336.00 |
| 90677 |
|
27 |
27 |
$0.25 |
| 90686 |
|
203 |
200 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |