| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,959 |
3,535 |
$197K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,579 |
3,902 |
$164K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,052 |
949 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
674 |
627 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,006 |
2,198 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
444 |
416 |
$34K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
416 |
396 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
258 |
248 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
398 |
371 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,067 |
990 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
315 |
292 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,204 |
782 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
243 |
194 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
491 |
198 |
$6K |
| 90461 |
|
1,107 |
875 |
$5K |
| 99215 |
Prolong outpt/office vis |
43 |
42 |
$3K |
| S8301 |
Infection control supplies, not otherwise specified |
335 |
309 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
61 |
$2K |
| 97169 |
|
58 |
56 |
$2K |
| 87634 |
|
21 |
19 |
$1K |
| 87807 |
|
46 |
42 |
$489.38 |
| 99072 |
|
185 |
164 |
$178.50 |
| 90686 |
|
548 |
516 |
$19.78 |
| 96160 |
|
14 |
13 |
$14.52 |
| 90670 |
|
394 |
372 |
$0.00 |
| 90707 |
|
114 |
104 |
$0.00 |
| 90633 |
|
94 |
86 |
$0.00 |
| 90671 |
|
25 |
25 |
$0.00 |
| 90734 |
|
46 |
38 |
$0.00 |
| 90716 |
|
113 |
104 |
$0.00 |
| 90680 |
|
103 |
98 |
$0.00 |
| 90744 |
|
61 |
55 |
$0.00 |
| 96127 |
|
149 |
130 |
$0.00 |
| 90698 |
|
146 |
137 |
$0.00 |
| 90697 |
|
14 |
14 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |