| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,703 |
2,573 |
$97K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,132 |
1,352 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
312 |
312 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
279 |
279 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
238 |
237 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
149 |
148 |
$13K |
| 92551 |
|
758 |
758 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
112 |
111 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
89 |
$5K |
| 90461 |
|
810 |
705 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
218 |
109 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
342 |
342 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
116 |
114 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
112 |
111 |
$211.14 |
| 90697 |
|
62 |
62 |
$0.61 |
| 90658 |
|
52 |
52 |
$0.01 |
| 90657 |
|
31 |
31 |
$0.00 |
| 90686 |
|
225 |
225 |
$0.00 |
| 90651 |
|
93 |
92 |
$0.00 |
| 90680 |
|
53 |
53 |
$0.00 |
| 90723 |
|
54 |
54 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| 99173 |
|
738 |
736 |
$0.00 |
| 90648 |
|
116 |
115 |
$0.00 |
| 90670 |
|
266 |
264 |
$0.00 |
| 99072 |
|
557 |
545 |
$0.00 |
| 90734 |
|
38 |
38 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |