| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,819 |
6,415 |
$592K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,348 |
2,186 |
$225K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,429 |
2,712 |
$146K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
993 |
938 |
$47K |
| 92588 |
|
1,208 |
1,155 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,397 |
1,317 |
$43K |
| 99174 |
|
1,653 |
1,595 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,950 |
916 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
189 |
179 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
198 |
193 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,059 |
1,018 |
$18K |
| 99401 |
|
349 |
338 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,152 |
1,073 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
87 |
84 |
$9K |
| 92587 |
|
203 |
198 |
$7K |
| 99177 |
|
279 |
277 |
$6K |
| 99050 |
|
326 |
294 |
$4K |
| 96127 |
|
229 |
218 |
$4K |
| 82044 |
|
817 |
773 |
$3K |
| 85013 |
|
335 |
319 |
$698.64 |
| 82962 |
|
227 |
215 |
$474.88 |
| 82948 |
|
28 |
28 |
$81.54 |
| 90671 |
|
14 |
14 |
$0.00 |
| 90686 |
|
364 |
358 |
$0.00 |
| 90619 |
|
27 |
24 |
$0.00 |