| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,732 |
3,719 |
$190K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,482 |
2,164 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,040 |
934 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
184 |
167 |
$10K |
| 92552 |
|
755 |
704 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
137 |
115 |
$8K |
| 92550 |
|
800 |
712 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
71 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
107 |
81 |
$4K |
| 90461 |
|
273 |
210 |
$2K |
| 90658 |
|
253 |
207 |
$1K |
| 90686 |
|
247 |
214 |
$909.25 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$791.25 |
| 99173 |
|
540 |
455 |
$546.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
24 |
$330.00 |
| 81002 |
|
736 |
599 |
$160.40 |
| 86580 |
|
24 |
24 |
$109.30 |
| 36416 |
|
15 |
15 |
$0.00 |
| 85018 |
|
20 |
16 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
18 |
$0.00 |