| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,441 |
5,058 |
$393K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,273 |
5,149 |
$204K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,059 |
1,047 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,354 |
1,301 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
863 |
851 |
$63K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
710 |
707 |
$57K |
| 99177 |
|
970 |
810 |
$17K |
| 92551 |
|
918 |
805 |
$1K |
| 99381 |
|
14 |
12 |
$974.20 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$465.18 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
12 |
$257.19 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$177.54 |
| 90686 |
|
661 |
566 |
$92.19 |
| 99173 |
|
246 |
225 |
$89.27 |
| 90680 |
|
103 |
103 |
$0.00 |
| 90698 |
|
305 |
296 |
$0.00 |
| 90744 |
|
26 |
25 |
$0.00 |
| 90670 |
|
289 |
279 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |