| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,341 |
3,788 |
$254K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,983 |
1,828 |
$27K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
294 |
285 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
683 |
638 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
157 |
145 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
57 |
57 |
$5K |
| 90461 |
|
154 |
145 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
50 |
48 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
276 |
144 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
180 |
175 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
145 |
137 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$999.62 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$969.96 |
| 96127 |
|
295 |
289 |
$795.80 |
| 81002 |
|
319 |
305 |
$723.06 |
| 87634 |
|
12 |
12 |
$554.34 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
13 |
$442.45 |