| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,825 |
2,546 |
$157K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
165 |
158 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
707 |
670 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
111 |
110 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
101 |
93 |
$8K |
| 90686 |
|
595 |
569 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
396 |
193 |
$5K |
| 92587 |
|
1,001 |
917 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,855 |
1,727 |
$4K |
| 99177 |
|
795 |
739 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
105 |
98 |
$2K |
| 0072A |
|
34 |
34 |
$1K |
| 0071A |
|
34 |
34 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$942.24 |
| 90656 |
|
42 |
42 |
$650.82 |
| 90461 |
|
214 |
210 |
$649.24 |
| 92551 |
|
66 |
66 |
$636.08 |
| 81002 |
|
229 |
220 |
$618.64 |
| 90685 |
|
25 |
25 |
$285.68 |
| 85018 |
|
89 |
83 |
$203.89 |
| 99173 |
|
41 |
41 |
$101.27 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$98.68 |
| 99072 |
|
762 |
679 |
$14.00 |
| 36416 |
|
89 |
83 |
$4.08 |