| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,260 |
8,575 |
$454K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,116 |
3,618 |
$113K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,412 |
1,341 |
$72K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
572 |
515 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,995 |
3,771 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
512 |
512 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
156 |
156 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
671 |
670 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
841 |
414 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
306 |
299 |
$9K |
| 96127 |
|
413 |
394 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 87430 |
|
57 |
56 |
$737.47 |
| 0071A |
|
14 |
14 |
$642.18 |
| 99177 |
|
66 |
65 |
$240.76 |
| 87081 |
|
28 |
28 |
$189.84 |
| 83655 |
|
15 |
15 |
$172.35 |
| 99441 |
|
14 |
14 |
$147.60 |
| 90461 |
|
782 |
766 |
$22.64 |
| 90686 |
|
662 |
662 |
$0.00 |
| 91307 |
|
15 |
14 |
$0.00 |
| 90661 |
|
242 |
240 |
$0.00 |
| 90670 |
|
24 |
24 |
$0.00 |