| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,149 |
1,017 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
128 |
127 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
305 |
285 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
252 |
234 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
339 |
322 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
129 |
115 |
$4K |
| 90686 |
|
233 |
227 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,347 |
735 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
14 |
$1K |
| 92587 |
|
126 |
124 |
$718.37 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
62 |
62 |
$625.20 |
| 99401 |
|
34 |
33 |
$486.90 |
| 90656 |
|
28 |
28 |
$415.14 |
| 99173 |
|
90 |
90 |
$214.89 |
| 99174 |
|
38 |
38 |
$203.34 |
| 99000 |
|
51 |
51 |
$161.92 |
| S8301 |
Infection control supplies, not otherwise specified |
110 |
96 |
$100.00 |
| 87400 |
|
27 |
26 |
$83.16 |
| 90461 |
|
79 |
55 |
$51.00 |
| 85018 |
|
12 |
12 |
$26.07 |
| 81002 |
|
55 |
55 |
$20.72 |
| 81003 |
|
12 |
12 |
$6.75 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
152 |
151 |
$1.40 |
| 36416 |
|
26 |
26 |
$1.00 |