| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,640 |
1,297 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
756 |
368 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
811 |
318 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
846 |
369 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
437 |
295 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,022 |
702 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
221 |
78 |
$2K |
| 90686 |
|
1,041 |
477 |
$2K |
| 92551 |
|
1,191 |
674 |
$953.85 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
150 |
80 |
$717.78 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
219 |
126 |
$716.59 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
246 |
135 |
$682.44 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
602 |
279 |
$389.84 |
| 90648 |
|
533 |
234 |
$279.36 |
| 90670 |
|
553 |
245 |
$162.96 |
| 99173 |
|
1,007 |
575 |
$149.22 |
| 96127 |
|
254 |
139 |
$95.14 |
| 90723 |
|
265 |
103 |
$0.00 |
| 96161 |
|
219 |
95 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
55 |
40 |
$0.00 |
| 90680 |
|
181 |
65 |
$0.00 |
| 90461 |
|
216 |
161 |
$0.00 |
| 99188 |
|
106 |
49 |
$0.00 |
| 99072 |
|
17 |
14 |
$0.00 |
| 90633 |
|
64 |
25 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
12 |
$0.00 |