| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,724 |
1,477 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
446 |
397 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
443 |
419 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
789 |
696 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,649 |
1,174 |
$27K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
88 |
84 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
184 |
170 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
513 |
470 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
52 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
264 |
127 |
$4K |
| 90461 |
|
445 |
325 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
117 |
104 |
$906.12 |
| 99000 |
|
102 |
96 |
$760.66 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
63 |
61 |
$680.64 |
| 90688 |
|
73 |
65 |
$471.35 |
| 96160 |
|
208 |
173 |
$405.46 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$336.66 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
12 |
$180.37 |
| 90734 |
|
104 |
90 |
$153.15 |
| 90686 |
|
92 |
91 |
$92.61 |
| 90651 |
|
70 |
60 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
39 |
$0.00 |
| 96127 |
|
57 |
28 |
$0.00 |
| 90715 |
|
36 |
34 |
$0.00 |
| 99173 |
|
17 |
17 |
$0.00 |