| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,401 |
4,628 |
$420K |
| 99442 |
|
526 |
485 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,176 |
1,103 |
$16K |
| 96112 |
|
451 |
442 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
114 |
114 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
81 |
81 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
50 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
24 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
21 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
32 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
110 |
55 |
$1K |
| 99441 |
|
20 |
19 |
$635.72 |
| 81003 |
|
351 |
343 |
$403.68 |
| 90461 |
|
30 |
25 |
$349.44 |
| 36415 |
Collection of venous blood by venipuncture |
100 |
97 |
$235.99 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$213.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
34 |
$168.40 |
| 96127 |
|
29 |
29 |
$64.33 |
| 99173 |
|
314 |
314 |
$39.13 |
| 96160 |
|
26 |
26 |
$36.88 |
| 99429 |
|
14 |
14 |
$0.00 |
| 90686 |
|
107 |
106 |
$0.00 |
| 90656 |
|
86 |
86 |
$0.00 |
| 90633 |
|
31 |
31 |
$0.00 |