| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,690 |
1,638 |
$152K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
247 |
243 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
131 |
131 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
432 |
253 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
197 |
193 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
482 |
480 |
$15K |
| 87428 |
|
61 |
60 |
$6K |
| 96127 |
|
252 |
252 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
148 |
148 |
$4K |
| 99051 |
|
125 |
124 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
125 |
125 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
52 |
$842.24 |
| 87400 |
|
13 |
13 |
$429.52 |
| 87081 |
|
27 |
27 |
$255.36 |