| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,188 |
4,630 |
$233K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,455 |
1,443 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
612 |
597 |
$38K |
| 87428 |
|
601 |
579 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
274 |
274 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
266 |
266 |
$16K |
| 92551 |
|
954 |
954 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
364 |
358 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
920 |
905 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
244 |
240 |
$6K |
| 99402 |
|
400 |
400 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
509 |
506 |
$3K |
| 87081 |
|
873 |
855 |
$3K |
| 87184 |
|
809 |
792 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
42 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
28 |
$2K |
| 81000 |
|
615 |
608 |
$1K |
| 99173 |
|
587 |
587 |
$1K |
| 81003 |
|
333 |
327 |
$499.62 |
| 99401 |
|
401 |
401 |
$81.29 |
| 99000 |
|
491 |
463 |
$0.00 |
| 99072 |
|
24 |
24 |
$0.00 |