| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
481 |
399 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
61 |
51 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
61 |
56 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
130 |
118 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
15 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
15 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
77 |
66 |
$391.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
50 |
$230.41 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
134 |
121 |
$46.41 |
| 90461 |
|
61 |
54 |
$35.00 |
| 92552 |
|
50 |
44 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
20 |
17 |
$0.00 |
| 99177 |
|
56 |
51 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |
| 90744 |
|
16 |
16 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
132 |
115 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90698 |
|
18 |
17 |
$0.00 |
| 87807 |
|
12 |
12 |
$0.00 |