| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,158 |
3,322 |
$365K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
750 |
242 |
$48K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,603 |
956 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
468 |
410 |
$41K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,696 |
963 |
$33K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
665 |
316 |
$31K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
537 |
314 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
129 |
74 |
$12K |
| 92587 |
|
777 |
432 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
103 |
59 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
41 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
346 |
157 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
148 |
85 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
36 |
18 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
148 |
78 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
222 |
133 |
$2K |
| 90686 |
|
239 |
124 |
$180.91 |
| 96127 |
|
38 |
19 |
$161.50 |
| 99174 |
|
970 |
543 |
$0.00 |
| 97802 |
|
513 |
294 |
$0.00 |
| 99406 |
|
46 |
23 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90670 |
|
20 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
12 |
$0.00 |