| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,252 |
6,523 |
$233K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
992 |
963 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
489 |
479 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
372 |
364 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,219 |
1,143 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
305 |
275 |
$16K |
| 90461 |
|
513 |
501 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
821 |
393 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
374 |
357 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
99 |
95 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
45 |
45 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
93 |
88 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
25 |
$659.85 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
14 |
$641.35 |
| 96127 |
|
158 |
144 |
$452.77 |
| 83655 |
|
24 |
24 |
$272.46 |
| 96161 |
|
137 |
125 |
$159.51 |
| 94760 |
|
88 |
70 |
$140.14 |
| 85018 |
|
25 |
25 |
$55.71 |
| 90688 |
|
33 |
33 |
$42.48 |
| 90633 |
|
44 |
43 |
$41.99 |
| 36416 |
|
12 |
12 |
$24.52 |
| 90670 |
|
157 |
152 |
$10.00 |
| 90671 |
|
13 |
12 |
$5.00 |
| 90680 |
|
61 |
57 |
$0.00 |
| 90697 |
|
46 |
43 |
$0.00 |
| 3008F |
|
29 |
29 |
$0.00 |