| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,137 |
1,026 |
$86K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,000 |
900 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
644 |
581 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
268 |
261 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142 |
133 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
53 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
52 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
78 |
74 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
129 |
119 |
$2K |
| 90671 |
|
13 |
12 |
$812.53 |
| 90461 |
|
44 |
41 |
$773.32 |
| 99188 |
|
58 |
56 |
$762.93 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
13 |
12 |
$335.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
12 |
$230.72 |
| 90686 |
|
116 |
113 |
$120.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$65.08 |
| 90700 |
|
28 |
25 |
$20.00 |
| 99173 |
|
48 |
43 |
$0.00 |
| 92551 |
|
22 |
18 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |