| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,343 |
6,233 |
$301K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,373 |
1,968 |
$133K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,009 |
925 |
$92K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,062 |
2,765 |
$38K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
612 |
580 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,282 |
587 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
166 |
151 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
201 |
174 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
235 |
171 |
$9K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
87 |
79 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
74 |
69 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
25 |
$2K |
| 92551 |
|
446 |
404 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
44 |
40 |
$2K |
| 99173 |
|
449 |
400 |
$1K |
| 90686 |
|
133 |
130 |
$1K |
| 87807 |
|
85 |
79 |
$874.50 |
| 90670 |
|
83 |
79 |
$616.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
64 |
38 |
$446.64 |
| 90697 |
|
27 |
24 |
$192.00 |
| 90680 |
|
27 |
24 |
$192.00 |
| 90677 |
|
21 |
19 |
$152.00 |
| 96161 |
|
56 |
54 |
$149.94 |
| 90698 |
|
17 |
15 |
$120.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
15 |
$102.16 |
| 96127 |
|
14 |
12 |
$60.14 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |
| 99401 |
|
21 |
19 |
$0.00 |