| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,887 |
2,392 |
$94K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,279 |
1,842 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
287 |
272 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
286 |
276 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
504 |
432 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,550 |
680 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
26 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
24 |
$1K |
| 99050 |
|
96 |
87 |
$1K |
| 90461 |
|
215 |
159 |
$1K |
| 99385 |
|
16 |
16 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
44 |
$1K |
| 81003 |
|
672 |
563 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
19 |
16 |
$769.79 |
| 87400 |
|
40 |
18 |
$403.58 |
| 99442 |
|
15 |
12 |
$343.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
57 |
56 |
$324.95 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
30 |
25 |
$219.78 |
| 86318 |
|
12 |
12 |
$217.08 |
| 90688 |
|
138 |
132 |
$53.65 |
| 90650 |
|
12 |
12 |
$0.05 |
| 90734 |
|
57 |
55 |
$0.03 |
| 90713 |
|
16 |
14 |
$0.02 |
| 90716 |
|
15 |
13 |
$0.00 |
| 90715 |
|
14 |
12 |
$0.00 |
| 90700 |
|
17 |
15 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |