| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,916 |
1,863 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,755 |
2,675 |
$134K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
648 |
646 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
518 |
518 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
378 |
377 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
335 |
326 |
$29K |
| 99051 |
|
468 |
462 |
$13K |
| 99215 |
Prolong outpt/office vis |
54 |
51 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
194 |
192 |
$3K |
| 90686 |
|
431 |
427 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$542.16 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$538.02 |
| 92551 |
|
660 |
658 |
$466.02 |
| 90648 |
|
103 |
103 |
$419.00 |
| 90670 |
|
79 |
79 |
$297.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$274.78 |
| 96127 |
|
594 |
594 |
$238.48 |
| 96160 |
|
579 |
579 |
$198.32 |
| 99177 |
|
452 |
450 |
$179.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$130.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
38 |
38 |
$19.25 |
| 90723 |
|
12 |
12 |
$11.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
173 |
173 |
$0.00 |
| 96161 |
|
99 |
98 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90656 |
|
21 |
21 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| G9920 |
Screening performed and negative |
342 |
342 |
$0.00 |
| 90661 |
|
43 |
43 |
$0.00 |