| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,364 |
2,051 |
$207K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,018 |
2,647 |
$173K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
642 |
613 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
411 |
396 |
$27K |
| 87428 |
|
517 |
467 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
361 |
333 |
$16K |
| 90686 |
|
670 |
651 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
893 |
866 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
140 |
138 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
80 |
70 |
$6K |
| 90670 |
|
239 |
235 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
92 |
88 |
$2K |
| 90698 |
|
108 |
107 |
$2K |
| 92551 |
|
264 |
258 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
163 |
88 |
$2K |
| 90685 |
|
80 |
79 |
$2K |
| 90680 |
|
76 |
75 |
$1K |
| 90688 |
|
65 |
65 |
$1K |
| 90744 |
|
64 |
63 |
$1K |
| 96127 |
|
274 |
236 |
$1K |
| 96161 |
|
378 |
351 |
$1K |
| 92552 |
|
57 |
56 |
$943.88 |
| 90633 |
|
52 |
50 |
$910.34 |
| 90656 |
|
43 |
43 |
$861.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
63 |
59 |
$809.95 |
| 99173 |
|
312 |
303 |
$795.66 |
| 90671 |
|
45 |
42 |
$791.60 |
| 96160 |
|
89 |
89 |
$108.78 |
| 99177 |
|
176 |
166 |
$0.00 |