| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,342 |
1,276 |
$116K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
733 |
698 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
425 |
408 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
404 |
404 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,122 |
1,119 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
222 |
222 |
$28K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
620 |
618 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
43 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
349 |
349 |
$5K |
| 96127 |
|
139 |
137 |
$2K |
| 83655 |
|
94 |
94 |
$2K |
| 90474 |
|
66 |
66 |
$980.76 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
39 |
19 |
$917.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$529.08 |
| 87400 |
|
13 |
13 |
$429.52 |
| 99051 |
|
14 |
14 |
$350.14 |
| 85018 |
|
12 |
12 |
$39.12 |
| 85014 |
|
12 |
12 |
$39.12 |