| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,494 |
3,658 |
$214K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,050 |
927 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
861 |
802 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
575 |
541 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
427 |
406 |
$35K |
| 90686 |
|
1,124 |
1,049 |
$18K |
| 90698 |
|
265 |
245 |
$4K |
| 90670 |
|
220 |
209 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
25 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
92 |
63 |
$2K |
| 99173 |
|
587 |
537 |
$1K |
| 0071A |
|
38 |
32 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
41 |
$996.86 |
| 90756 |
|
58 |
50 |
$945.62 |
| 0072A |
|
18 |
16 |
$600.00 |
| 90677 |
|
17 |
16 |
$586.91 |
| 90633 |
|
42 |
38 |
$551.75 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$390.00 |
| 90680 |
|
17 |
15 |
$264.84 |
| 81003 |
|
446 |
421 |
$245.63 |
| 83655 |
|
35 |
32 |
$244.17 |
| 96127 |
|
37 |
37 |
$216.57 |
| 90661 |
|
12 |
12 |
$198.63 |
| 92551 |
|
15 |
14 |
$156.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
24 |
$55.40 |
| 90685 |
|
42 |
33 |
$22.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
232 |
210 |
$13.88 |
| 91307 |
|
65 |
58 |
$2.86 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,829 |
2,699 |
$0.00 |