| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,348 |
7,216 |
$354K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,127 |
1,854 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
621 |
620 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,433 |
1,511 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
423 |
421 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,109 |
1,043 |
$31K |
| 99429 |
|
565 |
565 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
226 |
226 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,537 |
1,188 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
161 |
157 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
855 |
814 |
$12K |
| 90461 |
|
829 |
703 |
$2K |
| 99383 |
|
18 |
18 |
$2K |
| 0071A |
|
36 |
36 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
37 |
$932.48 |
| 0072A |
|
16 |
16 |
$640.00 |
| 0002A |
|
14 |
14 |
$560.00 |
| 0001A |
|
13 |
13 |
$520.00 |
| 96160 |
|
173 |
173 |
$355.75 |
| 90688 |
|
402 |
402 |
$0.00 |
| 90677 |
|
46 |
46 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| 90672 |
|
79 |
78 |
$0.00 |
| 90670 |
|
133 |
133 |
$0.00 |
| 90648 |
|
37 |
37 |
$0.00 |