| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,934 |
1,705 |
$118K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
152 |
147 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
77 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
79 |
70 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
412 |
393 |
$5K |
| 92551 |
|
387 |
379 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
34 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
25 |
$2K |
| 90686 |
|
96 |
95 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
629 |
598 |
$937.96 |
| 99173 |
|
373 |
368 |
$899.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
46 |
$677.11 |
| 90670 |
|
41 |
39 |
$675.98 |
| 96127 |
|
104 |
103 |
$501.48 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$435.26 |
| 81002 |
|
263 |
258 |
$427.53 |
| 90619 |
|
17 |
17 |
$317.43 |
| 90633 |
|
15 |
13 |
$166.59 |
| 90651 |
|
13 |
13 |
$143.00 |
| 90715 |
|
12 |
12 |
$132.00 |
| 90461 |
|
229 |
224 |
$108.80 |
| 96160 |
|
57 |
56 |
$100.44 |