| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,198 |
2,076 |
$150K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,497 |
1,456 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
553 |
529 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,257 |
1,183 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
290 |
283 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
184 |
179 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
191 |
182 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
49 |
49 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
57 |
$884.37 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
58 |
55 |
$469.68 |
| 90671 |
|
13 |
13 |
$120.00 |
| 85018 |
|
27 |
25 |
$79.75 |
| 90686 |
|
169 |
164 |
$22.22 |
| 99173 |
|
12 |
12 |
$11.52 |
| 90670 |
|
75 |
72 |
$0.00 |
| 90710 |
|
15 |
14 |
$0.00 |
| 90685 |
|
31 |
30 |
$0.00 |
| 90698 |
|
41 |
40 |
$0.00 |
| 90688 |
|
69 |
67 |
$0.00 |
| 90680 |
|
27 |
26 |
$0.00 |