| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,271 |
1,206 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
568 |
566 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
563 |
551 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
529 |
526 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
232 |
230 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
290 |
287 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
703 |
353 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
91 |
91 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
256 |
252 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
101 |
$3K |
| 99460 |
|
63 |
63 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
214 |
214 |
$2K |
| 99173 |
|
581 |
578 |
$2K |
| 92551 |
|
561 |
559 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
60 |
60 |
$1K |
| 96161 |
|
305 |
305 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
50 |
$365.82 |
| 90651 |
|
32 |
32 |
$209.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
329 |
327 |
$192.40 |
| 90698 |
|
131 |
131 |
$176.00 |
| 90734 |
|
31 |
31 |
$165.00 |
| 90633 |
|
84 |
84 |
$165.00 |
| 90670 |
|
354 |
354 |
$165.00 |
| 90715 |
|
12 |
12 |
$132.00 |
| 96127 |
|
223 |
221 |
$57.20 |
| 96160 |
|
327 |
326 |
$30.64 |
| 83655 |
|
42 |
42 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| 90680 |
|
160 |
160 |
$0.00 |
| 90697 |
|
89 |
89 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90686 |
|
20 |
20 |
$0.00 |
| 90619 |
|
17 |
17 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |