| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,272 |
2,817 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,174 |
955 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
376 |
365 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,098 |
874 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
230 |
224 |
$17K |
| 81002 |
|
1,084 |
705 |
$3K |
| 90461 |
|
329 |
295 |
$3K |
| 99000 |
|
229 |
206 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
190 |
90 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
283 |
224 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
15 |
$571.97 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$295.83 |
| 90686 |
|
195 |
194 |
$108.48 |
| 81025 |
|
13 |
12 |
$77.14 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90647 |
|
28 |
28 |
$0.00 |
| 90670 |
|
115 |
115 |
$0.00 |
| 90658 |
|
13 |
12 |
$0.00 |