| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,079 |
1,851 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
308 |
307 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
227 |
227 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,084 |
981 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
184 |
184 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
383 |
343 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,363 |
766 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
273 |
263 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
511 |
504 |
$4K |
| 99000 |
|
485 |
447 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
37 |
36 |
$3K |
| 90461 |
|
308 |
263 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
15 |
$678.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
66 |
$509.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$407.64 |
| 90473 |
|
16 |
16 |
$117.60 |
| 90734 |
|
25 |
25 |
$0.00 |
| 90670 |
|
38 |
38 |
$0.00 |
| 90672 |
|
30 |
30 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90686 |
|
187 |
187 |
$0.00 |
| 90688 |
|
73 |
73 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |