| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,249 |
4,393 |
$188K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,890 |
1,715 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
489 |
472 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
461 |
451 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
451 |
438 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,650 |
1,256 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
320 |
307 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,664 |
1,563 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
389 |
366 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,539 |
1,134 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
88 |
$5K |
| 90461 |
|
601 |
504 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
520 |
415 |
$4K |
| 99000 |
|
162 |
159 |
$2K |
| 97170 |
|
21 |
21 |
$1K |
| 96160 |
|
336 |
320 |
$659.51 |
| 87807 |
|
18 |
16 |
$198.00 |
| 90620 |
|
76 |
74 |
$0.02 |
| 90658 |
|
302 |
297 |
$0.01 |
| 90651 |
|
108 |
107 |
$0.01 |
| 90734 |
|
84 |
83 |
$0.00 |
| 90633 |
|
56 |
56 |
$0.00 |
| 90670 |
|
290 |
284 |
$0.00 |
| 90710 |
|
50 |
50 |
$0.00 |
| 90647 |
|
293 |
283 |
$0.00 |
| 90723 |
|
161 |
158 |
$0.00 |
| 90680 |
|
40 |
38 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |