| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,098 |
1,830 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
408 |
361 |
$27K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
379 |
342 |
$16K |
| 99050 |
|
1,628 |
1,430 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,617 |
1,591 |
$12K |
| 92552 |
|
394 |
393 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
361 |
329 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
698 |
643 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
255 |
248 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$2K |
| 90686 |
|
131 |
130 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$1K |
| 81002 |
|
495 |
489 |
$948.25 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
16 |
$880.00 |
| 99173 |
|
338 |
338 |
$603.89 |
| 99000 |
|
14 |
12 |
$0.00 |
| 92081 |
|
15 |
15 |
$0.00 |