| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,175 |
1,112 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,303 |
1,269 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
627 |
597 |
$22K |
| 92567 |
|
2,314 |
2,152 |
$16K |
| 92552 |
|
1,419 |
1,326 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
208 |
207 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
161 |
160 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
154 |
150 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
409 |
405 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$2K |
| 86580 |
|
231 |
229 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
118 |
114 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,209 |
1,184 |
$1K |
| 83655 |
|
130 |
127 |
$1K |
| 69210 |
|
63 |
63 |
$848.85 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$695.37 |
| 81002 |
|
522 |
509 |
$589.11 |
| 90658 |
|
172 |
172 |
$572.26 |
| 92081 |
|
13 |
13 |
$181.03 |
| 81000 |
|
67 |
67 |
$142.71 |
| 87070 |
|
63 |
60 |
$76.30 |
| 99080 |
|
413 |
188 |
$0.00 |