| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,195 |
3,665 |
$151K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
866 |
863 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
760 |
753 |
$63K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,119 |
1,064 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
525 |
524 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
305 |
305 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,358 |
664 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,310 |
1,275 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,070 |
2,059 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,707 |
1,077 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,261 |
1,001 |
$10K |
| 87807 |
|
430 |
416 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
46 |
46 |
$4K |
| 90474 |
|
266 |
265 |
$2K |
| 99381 |
|
14 |
14 |
$1K |
| 90686 |
|
942 |
939 |
$0.02 |
| 90680 |
|
268 |
268 |
$0.00 |
| 90723 |
|
76 |
76 |
$0.00 |
| 90716 |
|
28 |
28 |
$0.00 |
| 90647 |
|
66 |
66 |
$0.00 |
| 90651 |
|
61 |
61 |
$0.00 |
| 90696 |
|
37 |
37 |
$0.00 |
| 90734 |
|
69 |
69 |
$0.00 |
| 90700 |
|
137 |
137 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 90633 |
|
222 |
219 |
$0.00 |
| 90648 |
|
84 |
84 |
$0.00 |
| 90707 |
|
29 |
29 |
$0.00 |
| 90670 |
|
507 |
506 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |