| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,856 |
2,241 |
$107K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
748 |
714 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
200 |
191 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
192 |
171 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
242 |
235 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
209 |
172 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
619 |
460 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
568 |
539 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
99 |
96 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
466 |
230 |
$6K |
| 99000 |
|
367 |
336 |
$3K |
| 92567 |
|
177 |
176 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
347 |
328 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
64 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
194 |
140 |
$2K |
| 99429 |
|
132 |
127 |
$615.57 |
| 87807 |
|
48 |
46 |
$517.00 |
| 96160 |
|
153 |
128 |
$209.61 |
| 81003 |
|
102 |
96 |
$189.00 |
| 83655 |
|
13 |
13 |
$132.21 |
| 94760 |
|
104 |
84 |
$56.36 |
| 90461 |
|
43 |
40 |
$7.84 |
| 96161 |
|
75 |
72 |
$2.07 |
| 97802 |
|
551 |
475 |
$0.02 |
| S9451 |
Exercise classes, non-physician provider, per session |
559 |
484 |
$0.00 |
| 90656 |
|
146 |
145 |
$0.00 |
| 90680 |
|
28 |
28 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 90671 |
|
58 |
57 |
$0.00 |
| 99173 |
|
276 |
234 |
$0.00 |
| 90734 |
|
16 |
16 |
$0.00 |