| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,101 |
1,852 |
$158K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,923 |
1,888 |
$40K |
| 92587 |
|
554 |
554 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
205 |
204 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
184 |
184 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
144 |
144 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
45 |
45 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,066 |
1,066 |
$4K |
| 90461 |
|
126 |
125 |
$2K |
| 97802 |
|
461 |
461 |
$2K |
| 87428 |
|
30 |
27 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
41 |
39 |
$1K |
| 81002 |
|
584 |
581 |
$1K |
| S9451 |
Exercise classes, non-physician provider, per session |
209 |
209 |
$860.11 |
| 99173 |
|
562 |
559 |
$769.30 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
27 |
$755.38 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
98 |
97 |
$50.06 |
| 90661 |
|
13 |
13 |
$36.85 |
| 94760 |
|
369 |
365 |
$20.00 |
| 90686 |
|
154 |
154 |
$0.01 |
| 99000 |
|
77 |
72 |
$0.00 |