| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,104 |
4,972 |
$230K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,041 |
1,999 |
$131K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,054 |
1,043 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
541 |
541 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
504 |
502 |
$36K |
| 99177 |
|
2,031 |
2,022 |
$32K |
| 92587 |
|
524 |
513 |
$19K |
| 90686 |
|
1,742 |
1,740 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
287 |
279 |
$14K |
| 90651 |
|
289 |
286 |
$5K |
| 90670 |
|
636 |
618 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
189 |
146 |
$4K |
| 96127 |
|
736 |
730 |
$3K |
| 90698 |
|
428 |
428 |
$3K |
| 90656 |
|
239 |
239 |
$3K |
| 90716 |
|
346 |
346 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
74 |
73 |
$3K |
| 99215 |
Prolong outpt/office vis |
28 |
28 |
$3K |
| 90707 |
|
313 |
313 |
$3K |
| 90633 |
|
329 |
328 |
$2K |
| 99188 |
|
85 |
85 |
$2K |
| 90734 |
|
134 |
134 |
$2K |
| 0072A |
|
41 |
39 |
$2K |
| 90680 |
|
286 |
284 |
$1K |
| 90744 |
|
160 |
160 |
$1K |
| 90715 |
|
72 |
71 |
$697.68 |
| 90619 |
|
153 |
152 |
$632.02 |
| 0071A |
|
14 |
14 |
$588.00 |
| 90696 |
|
73 |
73 |
$564.59 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
56 |
$497.92 |
| 96160 |
|
94 |
94 |
$325.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
12 |
$223.40 |
| 99173 |
|
98 |
82 |
$198.00 |
| 92551 |
|
16 |
14 |
$26.40 |
| 99000 |
|
41 |
40 |
$0.00 |