| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,365 |
2,198 |
$117K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,190 |
1,183 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,282 |
2,123 |
$81K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
767 |
764 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
494 |
481 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,939 |
2,272 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
207 |
206 |
$18K |
| 87428 |
|
287 |
279 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
918 |
804 |
$9K |
| 90461 |
|
2,061 |
1,082 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
529 |
492 |
$7K |
| 92551 |
|
644 |
641 |
$6K |
| 99000 |
|
505 |
484 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
106 |
101 |
$4K |
| 87400 |
|
92 |
92 |
$2K |
| 87807 |
|
83 |
80 |
$891.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
66 |
$768.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$444.80 |
| 90686 |
|
875 |
862 |
$19.26 |
| 90670 |
|
464 |
453 |
$0.00 |
| 99173 |
|
957 |
945 |
$0.00 |
| 90633 |
|
178 |
168 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 36416 |
|
246 |
215 |
$0.00 |
| 90656 |
|
96 |
96 |
$0.00 |
| 90680 |
|
164 |
163 |
$0.00 |
| 90698 |
|
124 |
124 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90744 |
|
80 |
80 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |