| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,032 |
956 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
255 |
254 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
276 |
267 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
68 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
88 |
80 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 92551 |
|
326 |
324 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
81 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
69 |
$1K |
| 99173 |
|
280 |
278 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
66 |
66 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
183 |
163 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
19 |
$723.19 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
35 |
35 |
$406.68 |
| G0008 |
Administration of influenza virus vaccine |
24 |
24 |
$262.60 |
| 99188 |
|
14 |
13 |
$155.88 |
| 90698 |
|
13 |
13 |
$134.00 |
| 90670 |
|
14 |
14 |
$130.00 |
| 96127 |
|
36 |
36 |
$107.28 |
| 96161 |
|
14 |
13 |
$44.12 |