| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,422 |
1,324 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
314 |
304 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,317 |
1,255 |
$23K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,165 |
1,095 |
$21K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
593 |
531 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
150 |
139 |
$5K |
| 96112 |
|
60 |
58 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
43 |
43 |
$3K |
| 90461 |
|
52 |
51 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
191 |
144 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$400.75 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
14 |
$171.54 |
| 87070 |
|
18 |
14 |
$105.17 |
| 87184 |
|
18 |
14 |
$84.19 |