| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,524 |
1,424 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
753 |
700 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
549 |
539 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
147 |
145 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
84 |
79 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
54 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
63 |
63 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
128 |
123 |
$2K |
| 90677 |
|
13 |
12 |
$2K |
| 90686 |
|
193 |
192 |
$1K |
| 90674 |
|
58 |
53 |
$1K |
| 87428 |
|
13 |
12 |
$977.41 |
| 90461 |
|
42 |
40 |
$940.00 |
| 96127 |
|
293 |
269 |
$544.36 |
| 92587 |
|
18 |
18 |
$429.72 |
| 92552 |
|
28 |
28 |
$294.04 |
| 90656 |
|
106 |
106 |
$271.74 |
| 90698 |
|
12 |
12 |
$189.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
96 |
76 |
$164.74 |
| 99174 |
|
28 |
28 |
$105.07 |
| 87081 |
|
26 |
24 |
$41.40 |
| 99173 |
|
32 |
32 |
$25.29 |
| 96160 |
|
53 |
52 |
$24.56 |
| 99051 |
|
18 |
18 |
$0.00 |