| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,337 |
5,773 |
$248K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,877 |
1,737 |
$79K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,113 |
2,466 |
$54K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,297 |
1,541 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
574 |
536 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
724 |
660 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
431 |
427 |
$32K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
568 |
515 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,472 |
1,362 |
$19K |
| 99000 |
|
1,749 |
1,549 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,854 |
1,483 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
149 |
$12K |
| 87807 |
|
988 |
923 |
$10K |
| S8301 |
Infection control supplies, not otherwise specified |
2,766 |
2,290 |
$7K |
| 90461 |
|
759 |
591 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
50 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
146 |
121 |
$1K |
| 99429 |
|
36 |
36 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
35 |
$481.25 |
| 0072A |
|
12 |
12 |
$480.00 |
| 0071A |
|
12 |
12 |
$480.00 |
| 96160 |
|
303 |
262 |
$216.01 |
| 83655 |
|
12 |
12 |
$124.30 |
| 90686 |
|
1,018 |
1,011 |
$0.46 |
| 90671 |
|
58 |
57 |
$0.11 |
| 90680 |
|
53 |
52 |
$0.00 |
| 90698 |
|
73 |
72 |
$0.00 |
| 90656 |
|
110 |
110 |
$0.00 |
| 91307 |
|
44 |
42 |
$0.00 |
| 90670 |
|
215 |
213 |
$0.00 |
| 99173 |
|
133 |
132 |
$0.00 |