| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,720 |
1,065 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
353 |
284 |
$17K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
134 |
115 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
379 |
258 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
295 |
205 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
172 |
75 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
108 |
63 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
445 |
246 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
237 |
147 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
152 |
64 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
252 |
156 |
$1K |
| 92551 |
|
168 |
118 |
$880.21 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
22 |
13 |
$779.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
395 |
64 |
$756.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
27 |
$648.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
55 |
$481.95 |
| 85018 |
|
112 |
66 |
$109.69 |
| 83655 |
|
26 |
12 |
$105.93 |
| 99173 |
|
204 |
112 |
$93.80 |
| 96161 |
|
32 |
13 |
$40.70 |
| 96127 |
|
19 |
13 |
$2.93 |
| 90671 |
|
43 |
28 |
$0.00 |