| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,826 |
6,187 |
$510K |
| T1015 |
Clinic visit/encounter, all-inclusive |
8,847 |
6,226 |
$479K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,759 |
1,530 |
$200K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
810 |
718 |
$39K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
548 |
503 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
261 |
245 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
237 |
232 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
839 |
769 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
37 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
112 |
108 |
$4K |
| 99307 |
|
39 |
26 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
14 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
157 |
145 |
$2K |
| 87807 |
|
121 |
115 |
$1K |
| 93000 |
|
262 |
221 |
$1K |
| 90686 |
|
152 |
131 |
$468.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
13 |
$372.96 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
25 |
$186.61 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
41 |
$136.16 |
| 99177 |
|
17 |
13 |
$53.64 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90677 |
|
16 |
16 |
$0.00 |
| 90648 |
|
67 |
67 |
$0.00 |
| 90461 |
|
24 |
16 |
$0.00 |
| 90670 |
|
34 |
31 |
$0.00 |