| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,632 |
4,374 |
$543K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,681 |
2,002 |
$168K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,614 |
2,144 |
$72K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,166 |
2,610 |
$55K |
| 92587 |
|
1,122 |
896 |
$31K |
| 99188 |
|
879 |
752 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,890 |
1,323 |
$16K |
| 80061 |
Lipid panel |
1,254 |
1,020 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
126 |
105 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
74 |
64 |
$9K |
| 99173 |
|
1,427 |
1,181 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
99 |
81 |
$9K |
| 36416 |
|
2,456 |
2,004 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
730 |
557 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
42 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
61 |
56 |
$3K |
| D0145 |
Oral evaluation for a patient under three years of age |
118 |
78 |
$2K |
| 96127 |
|
43 |
30 |
$624.96 |
| 90686 |
|
1,220 |
1,043 |
$618.55 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23 |
14 |
$177.97 |
| 87807 |
|
27 |
14 |
$148.85 |
| 81002 |
|
1,746 |
1,396 |
$71.77 |
| 85018 |
|
2,528 |
2,006 |
$48.07 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
44 |
33 |
$32.44 |
| 90656 |
|
85 |
54 |
$22.35 |
| 90685 |
|
55 |
42 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |