| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
571 |
530 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
779 |
705 |
$48K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
478 |
452 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
201 |
200 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
704 |
331 |
$19K |
| 90461 |
|
226 |
194 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
119 |
119 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
494 |
452 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
761 |
744 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
59 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
206 |
188 |
$4K |
| 96160 |
|
582 |
571 |
$2K |
| 96161 |
|
442 |
434 |
$2K |
| 87807 |
|
30 |
29 |
$494.22 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$466.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$359.69 |
| 92587 |
|
13 |
13 |
$334.19 |
| 85018 |
|
53 |
52 |
$155.56 |
| 90686 |
|
16 |
16 |
$23.65 |
| 90677 |
|
58 |
58 |
$0.58 |
| 90671 |
|
14 |
14 |
$0.14 |
| 90697 |
|
25 |
25 |
$0.00 |