| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,971 |
2,836 |
$216K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
320 |
320 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
321 |
321 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,065 |
1,063 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
181 |
179 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
187 |
186 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
722 |
711 |
$9K |
| 99188 |
|
486 |
486 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
601 |
292 |
$8K |
| 90461 |
|
339 |
339 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
101 |
99 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
593 |
591 |
$5K |
| 96127 |
|
530 |
526 |
$4K |
| 99050 |
|
64 |
64 |
$773.40 |
| 83655 |
|
72 |
72 |
$759.99 |
| 99051 |
|
44 |
44 |
$533.40 |
| 85018 |
|
240 |
240 |
$493.86 |
| 87807 |
|
44 |
43 |
$457.16 |
| 81002 |
|
153 |
150 |
$419.14 |
| 96161 |
|
28 |
27 |
$230.36 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$165.34 |
| 82465 |
|
16 |
16 |
$61.05 |
| 90686 |
|
299 |
299 |
$16.42 |
| 90700 |
|
101 |
101 |
$0.00 |
| 90633 |
|
53 |
53 |
$0.00 |
| 90707 |
|
108 |
108 |
$0.00 |
| 90715 |
|
61 |
61 |
$0.00 |
| 90734 |
|
61 |
61 |
$0.00 |
| 90713 |
|
60 |
60 |
$0.00 |
| 90670 |
|
192 |
192 |
$0.00 |
| 90648 |
|
16 |
16 |
$0.00 |
| 90680 |
|
67 |
67 |
$0.00 |
| 90698 |
|
106 |
106 |
$0.00 |
| 90716 |
|
121 |
121 |
$0.00 |
| 94760 |
|
47 |
44 |
$0.00 |
| 90744 |
|
58 |
58 |
$0.00 |
| 90651 |
|
77 |
77 |
$0.00 |