| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
974 |
896 |
$91K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
258 |
255 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
235 |
224 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
152 |
152 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
125 |
114 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
184 |
178 |
$11K |
| 90461 |
|
269 |
265 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
481 |
462 |
$8K |
| 87428 |
|
91 |
91 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
34 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
81 |
80 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
74 |
73 |
$687.71 |
| 99462 |
|
20 |
13 |
$468.55 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$151.40 |
| 99173 |
|
29 |
29 |
$58.45 |