| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,699 |
4,389 |
$233K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,209 |
2,000 |
$35K |
| 92587 |
|
1,475 |
1,308 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
331 |
315 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
197 |
195 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
123 |
118 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
681 |
604 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
118 |
101 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
71 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
180 |
175 |
$4K |
| 99177 |
|
903 |
864 |
$4K |
| 90461 |
|
189 |
184 |
$3K |
| 90686 |
|
251 |
239 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
41 |
33 |
$1K |
| 96111 |
|
28 |
28 |
$1K |
| 96127 |
|
467 |
406 |
$1K |
| 90716 |
|
14 |
13 |
$801.75 |
| 95930 |
|
13 |
13 |
$356.98 |
| 90656 |
|
26 |
24 |
$89.40 |
| 87400 |
|
78 |
40 |
$63.52 |
| 99050 |
|
14 |
14 |
$0.00 |
| 99000 |
|
107 |
96 |
$0.00 |
| 99173 |
|
378 |
236 |
$0.00 |
| 99051 |
|
28 |
28 |
$0.00 |