| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
646 |
383 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
883 |
556 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
186 |
131 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
112 |
87 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
370 |
269 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
62 |
28 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
29 |
$2K |
| 90670 |
|
153 |
109 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
49 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
35 |
26 |
$1K |
| 90698 |
|
126 |
88 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
30 |
$614.20 |
| 90680 |
|
91 |
66 |
$594.80 |
| 90686 |
|
55 |
53 |
$485.04 |
| 90744 |
|
56 |
41 |
$307.12 |
| 96127 |
|
23 |
14 |
$299.00 |
| 90734 |
|
18 |
15 |
$115.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$66.17 |