| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
864 |
766 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
622 |
559 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,791 |
884 |
$18K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
703 |
672 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
202 |
201 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
166 |
157 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,164 |
552 |
$11K |
| 99000 |
|
703 |
669 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
102 |
101 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
442 |
384 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
394 |
379 |
$3K |
| 92552 |
|
118 |
118 |
$3K |
| 90461 |
|
347 |
296 |
$2K |
| 99382 |
|
13 |
13 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 87081 |
|
355 |
339 |
$682.53 |
| 87807 |
|
29 |
24 |
$168.20 |
| 92587 |
|
15 |
15 |
$91.20 |
| 96160 |
|
152 |
152 |
$22.50 |
| 90686 |
|
428 |
424 |
$18.10 |
| 96127 |
|
12 |
12 |
$15.75 |
| 90698 |
|
12 |
12 |
$0.00 |
| 99173 |
|
292 |
289 |
$0.00 |
| 90670 |
|
181 |
181 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90633 |
|
38 |
38 |
$0.00 |