| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,585 |
1,375 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
120 |
119 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
117 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
115 |
114 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
646 |
282 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
71 |
69 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$441.97 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
56 |
40 |
$431.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$146.58 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$128.91 |
| 90461 |
|
149 |
126 |
$0.20 |
| 90651 |
|
13 |
12 |
$0.00 |
| 90619 |
|
25 |
25 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 90670 |
|
51 |
51 |
$0.00 |
| 99072 |
|
76 |
71 |
$0.00 |