| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,193 |
1,902 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,399 |
1,253 |
$75K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
882 |
807 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
220 |
216 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,775 |
784 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,356 |
1,251 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
906 |
753 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
592 |
484 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
87 |
81 |
$2K |
| 90461 |
|
205 |
165 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 87807 |
|
19 |
16 |
$214.50 |
| 90686 |
|
161 |
153 |
$0.10 |
| 96127 |
|
125 |
108 |
$0.00 |