| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,076 |
2,909 |
$134K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
783 |
742 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
247 |
236 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
198 |
187 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
206 |
199 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
960 |
470 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
837 |
796 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
730 |
354 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
150 |
143 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
72 |
66 |
$5K |
| 87807 |
|
201 |
186 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
29 |
$1K |
| 92551 |
|
500 |
475 |
$783.55 |
| 69210 |
|
15 |
13 |
$426.09 |
| 96160 |
|
319 |
311 |
$360.44 |
| 90619 |
|
17 |
12 |
$175.91 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19 |
15 |
$87.12 |
| 90461 |
|
46 |
35 |
$0.20 |
| 90677 |
|
52 |
48 |
$0.01 |
| 99173 |
|
177 |
155 |
$0.00 |
| 96127 |
|
526 |
341 |
$0.00 |
| 90656 |
|
136 |
135 |
$0.00 |
| 96161 |
|
33 |
32 |
$0.00 |
| 90698 |
|
16 |
14 |
$0.00 |