| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,698 |
2,158 |
$218K |
| 97803 |
|
1,110 |
1,099 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,091 |
1,067 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,038 |
1,021 |
$17K |
| 99307 |
|
1,609 |
444 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,475 |
455 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
871 |
771 |
$10K |
| 99051 |
|
290 |
275 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
59 |
59 |
$6K |
| 87070 |
|
550 |
497 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
49 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
87 |
$4K |
| 87184 |
|
548 |
495 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
174 |
82 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$1K |
| 96127 |
|
183 |
183 |
$951.91 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
16 |
$859.37 |
| 99000 |
|
120 |
114 |
$402.80 |
| 36415 |
Collection of venous blood by venipuncture |
40 |
38 |
$173.78 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
81 |
40 |
$65.07 |