| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,414 |
1,333 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
408 |
397 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
437 |
435 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
260 |
260 |
$6K |
| 96127 |
|
667 |
665 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
71 |
70 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
41 |
41 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
197 |
190 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
32 |
$663.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
39 |
$481.88 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$371.40 |
| 90461 |
|
13 |
13 |
$307.00 |
| 90686 |
|
460 |
460 |
$135.96 |
| 96160 |
|
17 |
17 |
$6.33 |
| 99072 |
|
1,730 |
1,620 |
$0.00 |
| 90661 |
|
16 |
16 |
$0.00 |
| 99000 |
|
271 |
258 |
$0.00 |