| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,644 |
1,481 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
888 |
796 |
$66K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
654 |
608 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
129 |
125 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
295 |
269 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
72 |
72 |
$6K |
| 99050 |
|
212 |
190 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
212 |
182 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
97 |
94 |
$2K |
| 0071A |
|
45 |
20 |
$2K |
| 90461 |
|
39 |
37 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
96 |
96 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
121 |
113 |
$1K |
| 90686 |
|
777 |
414 |
$1K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
14 |
14 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$945.49 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
32 |
$864.58 |
| 99173 |
|
140 |
136 |
$299.46 |
| E0700 |
Safety equipment, device or accessory, any type |
14 |
14 |
$200.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$198.24 |
| 96127 |
|
27 |
12 |
$94.64 |
| 90685 |
|
32 |
14 |
$42.64 |
| 99177 |
|
12 |
12 |
$41.98 |