| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,075 |
838 |
$51K |
| 99215 |
Prolong outpt/office vis |
251 |
203 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
486 |
419 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
601 |
532 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
103 |
73 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
36 |
31 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
16 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
82 |
27 |
$687.50 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$639.92 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
95 |
73 |
$597.70 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
14 |
$576.94 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13 |
12 |
$504.30 |
| 87807 |
|
41 |
31 |
$209.00 |
| 92552 |
|
75 |
61 |
$145.38 |
| 94760 |
|
90 |
79 |
$22.21 |
| 96127 |
|
42 |
41 |
$0.00 |
| 99173 |
|
75 |
61 |
$0.00 |
| 99188 |
|
13 |
12 |
$0.00 |