| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,914 |
6,221 |
$297K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,597 |
2,302 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,114 |
1,035 |
$59K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,720 |
1,612 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
492 |
490 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
473 |
460 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,935 |
1,265 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,040 |
1,901 |
$28K |
| 99429 |
|
466 |
462 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,442 |
1,110 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
83 |
80 |
$6K |
| 92552 |
|
218 |
217 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
49 |
$5K |
| 99051 |
|
809 |
765 |
$3K |
| 0071A |
|
55 |
52 |
$2K |
| 90461 |
|
594 |
499 |
$2K |
| 99383 |
|
16 |
16 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
48 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 0072A |
|
18 |
18 |
$720.00 |
| 0002A |
|
15 |
15 |
$600.00 |
| 0001A |
|
14 |
13 |
$520.00 |
| 96160 |
|
153 |
153 |
$290.77 |
| 90473 |
|
13 |
13 |
$178.75 |
| 87807 |
|
12 |
12 |
$132.00 |
| 90688 |
|
242 |
242 |
$102.97 |
| 92081 |
|
17 |
17 |
$57.82 |
| 90677 |
|
41 |
38 |
$0.05 |
| 90670 |
|
85 |
83 |
$0.00 |
| 90672 |
|
27 |
27 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |