| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,552 |
2,280 |
$99K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
555 |
537 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,551 |
1,289 |
$29K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
926 |
897 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
217 |
212 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
148 |
138 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
174 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,377 |
1,322 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
92 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
63 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
58 |
56 |
$3K |
| 90461 |
|
217 |
185 |
$1K |
| 0071A |
|
34 |
34 |
$1K |
| 0072A |
|
22 |
22 |
$695.60 |
| 92552 |
|
285 |
278 |
$512.18 |
| 90677 |
|
41 |
41 |
$0.05 |
| 90686 |
|
310 |
310 |
$0.01 |
| 91300 |
|
13 |
13 |
$0.00 |
| 90670 |
|
28 |
28 |
$0.00 |
| 99173 |
|
77 |
76 |
$0.00 |
| 96127 |
|
59 |
56 |
$0.00 |
| 90698 |
|
24 |
24 |
$0.00 |
| 90680 |
|
24 |
24 |
$0.00 |
| 91307 |
|
73 |
69 |
$0.00 |