| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,367 |
3,154 |
$178K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,152 |
3,878 |
$157K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
875 |
867 |
$76K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,523 |
1,900 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
434 |
420 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,438 |
2,323 |
$36K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
732 |
634 |
$29K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
642 |
607 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
349 |
329 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,544 |
746 |
$24K |
| 87428 |
|
479 |
470 |
$21K |
| 87077 |
|
1,891 |
1,818 |
$14K |
| S8301 |
Infection control supplies, not otherwise specified |
1,154 |
1,083 |
$9K |
| 90461 |
|
1,185 |
986 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
40 |
$4K |
| 99000 |
|
266 |
263 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
139 |
97 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
113 |
110 |
$830.79 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$285.56 |
| 99001 |
|
94 |
86 |
$234.20 |
| 92551 |
|
36 |
34 |
$67.89 |
| 94760 |
|
428 |
414 |
$29.97 |
| 90648 |
|
114 |
111 |
$0.00 |
| 99173 |
|
56 |
52 |
$0.00 |
| 90670 |
|
202 |
200 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| 99072 |
|
65 |
61 |
$0.00 |
| 90686 |
|
401 |
389 |
$0.00 |
| 36416 |
|
766 |
727 |
$0.00 |
| 90680 |
|
26 |
26 |
$0.00 |
| 90723 |
|
24 |
24 |
$0.00 |