| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,147 |
2,902 |
$133K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,851 |
1,800 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
986 |
947 |
$61K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
902 |
884 |
$21K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
364 |
345 |
$15K |
| 92587 |
|
635 |
620 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
163 |
160 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
633 |
613 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
79 |
79 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
312 |
312 |
$4K |
| 90686 |
|
267 |
265 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
41 |
$2K |
| 90461 |
|
100 |
100 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
25 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$423.44 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
280 |
132 |
$248.04 |
| 90670 |
|
14 |
14 |
$226.43 |
| 96127 |
|
51 |
51 |
$214.42 |
| 99174 |
|
73 |
71 |
$173.95 |
| 90723 |
|
13 |
13 |
$90.05 |
| 99051 |
|
57 |
57 |
$59.88 |
| 99173 |
|
235 |
220 |
$45.30 |
| 81002 |
|
40 |
40 |
$10.71 |
| 87807 |
|
15 |
14 |
$0.00 |
| 99072 |
|
705 |
651 |
$0.00 |
| 92015 |
Determination of refractive state |
28 |
28 |
$0.00 |
| 90658 |
|
13 |
13 |
$0.00 |