| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,605 |
8,106 |
$306K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,330 |
1,304 |
$112K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,249 |
1,217 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
328 |
323 |
$24K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
588 |
513 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
228 |
225 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,228 |
2,158 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,070 |
719 |
$15K |
| 99000 |
|
1,213 |
1,144 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
861 |
321 |
$8K |
| 87430 |
|
534 |
458 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
99 |
98 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
324 |
222 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
425 |
411 |
$2K |
| 90658 |
|
840 |
809 |
$2K |
| 81000 |
|
732 |
641 |
$2K |
| 97169 |
|
83 |
82 |
$2K |
| 96160 |
|
790 |
776 |
$1K |
| 82947 |
|
468 |
328 |
$717.30 |
| 90733 |
|
129 |
129 |
$0.59 |
| 90670 |
|
28 |
25 |
$0.01 |
| 90651 |
|
174 |
172 |
$0.01 |
| 90700 |
|
147 |
145 |
$0.00 |
| 90707 |
|
37 |
37 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |
| 90713 |
|
56 |
56 |
$0.00 |
| 90716 |
|
39 |
39 |
$0.00 |
| 90647 |
|
26 |
26 |
$0.00 |