| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,896 |
13,141 |
$501K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
509 |
454 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
422 |
376 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
300 |
281 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
657 |
360 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
57 |
53 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
234 |
220 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
67 |
65 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
147 |
130 |
$2K |
| 0071A |
|
39 |
36 |
$1K |
| 99050 |
|
94 |
87 |
$940.40 |
| 90686 |
|
445 |
416 |
$904.38 |
| 0072A |
|
22 |
22 |
$903.60 |
| 0001A |
|
16 |
13 |
$526.00 |
| 87081 |
|
74 |
61 |
$391.32 |
| 92551 |
|
15 |
12 |
$148.35 |
| 91307 |
|
71 |
58 |
$0.10 |
| 91300 |
|
16 |
13 |
$0.00 |