| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
779 |
669 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
408 |
342 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
584 |
543 |
$24K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
419 |
340 |
$18K |
| 90461 |
|
340 |
315 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119 |
103 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
150 |
124 |
$9K |
| 99070 |
|
859 |
724 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
473 |
447 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$3K |
| 99382 |
|
14 |
14 |
$1K |
| 99383 |
|
13 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
201 |
154 |
$1K |
| 99381 |
|
15 |
12 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$998.90 |
| 90671 |
|
28 |
25 |
$664.74 |
| 94760 |
|
471 |
389 |
$595.64 |
| 87807 |
|
29 |
26 |
$183.64 |
| 96127 |
|
15 |
15 |
$70.86 |
| 96161 |
|
36 |
25 |
$68.59 |
| 99072 |
|
45 |
34 |
$0.00 |
| 99173 |
|
29 |
29 |
$0.00 |
| 90680 |
|
95 |
91 |
$0.00 |
| 99000 |
|
475 |
354 |
$0.00 |
| 97802 |
|
42 |
42 |
$0.00 |
| 90677 |
|
13 |
12 |
$0.00 |
| 90660 |
|
33 |
33 |
$0.00 |
| 90686 |
|
80 |
66 |
$0.00 |
| 90697 |
|
41 |
38 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |