| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,491 |
5,719 |
$270K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,130 |
1,663 |
$101K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,057 |
981 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
240 |
231 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
198 |
190 |
$14K |
| 99442 |
|
437 |
388 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
79 |
79 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
217 |
196 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
664 |
635 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
57 |
51 |
$1K |
| 90461 |
|
205 |
157 |
$833.59 |
| 81000 |
|
23 |
13 |
$67.60 |
| 92551 |
|
49 |
44 |
$49.94 |
| 90672 |
|
18 |
18 |
$0.00 |
| 3078F |
|
94 |
75 |
$0.00 |
| 3074F |
|
90 |
72 |
$0.00 |
| 90686 |
|
85 |
85 |
$0.00 |
| 99172 |
|
34 |
30 |
$0.00 |
| 96127 |
|
30 |
26 |
$0.00 |