| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
764 |
653 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
121 |
119 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
321 |
312 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
71 |
71 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
112 |
103 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
120 |
118 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
34 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$3K |
| 87634 |
|
111 |
102 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
55 |
49 |
$925.25 |
| 87631 |
|
13 |
13 |
$921.76 |
| 96127 |
|
193 |
181 |
$727.08 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
251 |
248 |
$714.44 |
| 90461 |
|
73 |
72 |
$335.51 |
| 92551 |
|
35 |
35 |
$262.84 |
| 90677 |
|
42 |
42 |
$0.00 |
| 97802 |
|
12 |
12 |
$0.00 |
| 99173 |
|
31 |
31 |
$0.00 |