| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,993 |
1,695 |
$128K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,147 |
993 |
$49K |
| 92551 |
|
1,198 |
1,096 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
184 |
165 |
$18K |
| 99401 |
|
551 |
501 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
199 |
153 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
131 |
119 |
$11K |
| 85018 |
|
1,583 |
1,446 |
$3K |
| 99173 |
|
1,017 |
928 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
143 |
128 |
$3K |
| 90651 |
|
14 |
13 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
57 |
$2K |
| 90658 |
|
92 |
89 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
58 |
54 |
$2K |
| 90633 |
|
56 |
47 |
$1K |
| 90461 |
|
34 |
28 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
13 |
$1K |
| 96127 |
|
76 |
66 |
$367.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
28 |
$311.36 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
24 |
$259.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
13 |
$46.40 |