| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,372 |
1,263 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
296 |
296 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
262 |
262 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,158 |
1,141 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
213 |
209 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
902 |
900 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
56 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
59 |
57 |
$2K |
| 96127 |
|
568 |
568 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
19 |
19 |
$662.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
26 |
$376.65 |
| G9002 |
Coordinated care fee, maintenance rate |
115 |
111 |
$0.26 |
| G9007 |
Coordinated care fee, scheduled team conference |
149 |
144 |
$0.22 |
| 90686 |
|
139 |
139 |
$0.00 |
| 90698 |
|
90 |
88 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90670 |
|
66 |
66 |
$0.00 |