| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,175 |
2,934 |
$113K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,842 |
1,858 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
442 |
440 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
364 |
364 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
311 |
311 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
309 |
306 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
453 |
438 |
$23K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
397 |
382 |
$16K |
| 87428 |
|
134 |
131 |
$8K |
| 92551 |
|
1,346 |
1,343 |
$7K |
| 90461 |
|
987 |
854 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
333 |
332 |
$3K |
| 87449 |
|
208 |
206 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
53 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
29 |
$761.18 |
| 96161 |
|
306 |
306 |
$441.87 |
| 99173 |
|
1,350 |
1,345 |
$399.84 |
| 99080 |
|
18 |
18 |
$356.40 |
| 90619 |
|
17 |
16 |
$0.01 |
| 90648 |
|
203 |
202 |
$0.00 |
| 90670 |
|
142 |
142 |
$0.00 |
| 90700 |
|
432 |
430 |
$0.00 |
| 90713 |
|
232 |
231 |
$0.00 |
| 90734 |
|
32 |
32 |
$0.00 |
| 90671 |
|
72 |
71 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90685 |
|
28 |
28 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90688 |
|
523 |
523 |
$0.00 |
| 90680 |
|
65 |
64 |
$0.00 |
| 90744 |
|
16 |
16 |
$0.00 |
| 90651 |
|
48 |
48 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |