| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,777 |
3,337 |
$133K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
850 |
452 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
110 |
104 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
49 |
$4K |
| 86328 |
|
82 |
78 |
$4K |
| 90686 |
|
204 |
186 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
145 |
130 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
65 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
26 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
67 |
63 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
465 |
434 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
116 |
83 |
$1K |
| 0013A |
|
30 |
30 |
$1K |
| 90682 |
|
29 |
28 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$941.74 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$796.40 |
| 0012A |
|
25 |
24 |
$793.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
109 |
104 |
$644.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
28 |
$410.23 |
| 0011A |
|
23 |
22 |
$355.74 |
| 94760 |
|
48 |
37 |
$194.06 |
| 90461 |
|
82 |
74 |
$109.72 |
| 99000 |
|
15 |
14 |
$41.37 |
| 99072 |
|
84 |
73 |
$0.00 |