| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,403 |
1,368 |
$65K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
961 |
923 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
389 |
381 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
169 |
155 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
165 |
162 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
158 |
137 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
158 |
79 |
$1K |
| 90461 |
|
144 |
141 |
$604.96 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$518.88 |
| 94760 |
|
561 |
550 |
$438.60 |
| 90686 |
|
181 |
165 |
$194.58 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$78.72 |
| 92551 |
|
40 |
40 |
$78.60 |
| 96127 |
|
15 |
15 |
$53.55 |
| 97802 |
|
332 |
327 |
$0.00 |
| 99000 |
|
41 |
39 |
$0.00 |
| 99173 |
|
42 |
42 |
$0.00 |
| 90672 |
|
16 |
12 |
$0.00 |