| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
754 |
633 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
342 |
308 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
156 |
146 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
79 |
63 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
376 |
338 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
126 |
110 |
$4K |
| 99199 |
Unlisted special service, procedure or report |
1,636 |
1,636 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
26 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
206 |
131 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
220 |
133 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
87 |
53 |
$809.85 |
| 99173 |
|
147 |
116 |
$218.02 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19 |
12 |
$120.01 |
| 92552 |
|
16 |
15 |
$48.45 |
| 96127 |
|
23 |
12 |
$38.43 |
| 92551 |
|
19 |
13 |
$16.04 |