| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,634 |
1,441 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
853 |
767 |
$30K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
34 |
27 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
80 |
80 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
458 |
181 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
48 |
47 |
$3K |
| 99000 |
|
225 |
211 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
17 |
17 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
70 |
$944.52 |
| 90461 |
|
97 |
81 |
$535.13 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$462.78 |
| 81003 |
|
240 |
177 |
$454.26 |
| 99442 |
|
17 |
17 |
$427.17 |
| 87807 |
|
34 |
34 |
$341.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$308.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21 |
15 |
$115.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$94.08 |
| 90686 |
|
54 |
54 |
$89.67 |
| 90698 |
|
14 |
14 |
$0.00 |
| 90670 |
|
47 |
47 |
$0.00 |
| 99490 |
Ccm add 20min |
54 |
54 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |