| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
676 |
628 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111 |
110 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
116 |
116 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
336 |
334 |
$11K |
| 90461 |
|
220 |
220 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
81 |
80 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
53 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
35 |
$4K |
| 97802 |
|
126 |
126 |
$3K |
| 99188 |
|
180 |
180 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
218 |
218 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
24 |
24 |
$1K |
| 92583 |
|
35 |
35 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
51 |
$683.17 |
| 96127 |
|
61 |
54 |
$447.93 |
| 96161 |
|
32 |
32 |
$260.48 |
| 81002 |
|
26 |
25 |
$70.46 |
| 99177 |
|
41 |
41 |
$47.04 |
| 92551 |
|
94 |
94 |
$7.61 |
| 90633 |
|
29 |
29 |
$0.00 |
| 99173 |
|
73 |
73 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90670 |
|
45 |
45 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90680 |
|
19 |
19 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90686 |
|
38 |
38 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
115 |
115 |
$0.00 |