| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,138 |
1,981 |
$189K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
988 |
944 |
$63K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
758 |
758 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
319 |
311 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
214 |
214 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
562 |
560 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
53 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
64 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
82 |
82 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
39 |
38 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 83655 |
|
51 |
51 |
$580.89 |
| 0003A |
|
13 |
13 |
$480.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
39 |
39 |
$324.09 |
| 85018 |
|
115 |
114 |
$263.47 |
| 92551 |
|
26 |
26 |
$242.32 |
| 96127 |
|
28 |
24 |
$131.16 |
| 90686 |
|
79 |
79 |
$20.15 |
| 90734 |
|
12 |
12 |
$0.00 |