| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,136 |
1,045 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,662 |
1,363 |
$72K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
891 |
691 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
747 |
565 |
$54K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,276 |
1,083 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
158 |
124 |
$11K |
| 90670 |
|
567 |
433 |
$6K |
| 96127 |
|
210 |
185 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
108 |
86 |
$2K |
| 83655 |
|
209 |
138 |
$2K |
| 90633 |
|
189 |
131 |
$2K |
| 90648 |
|
267 |
207 |
$2K |
| 96160 |
|
141 |
112 |
$2K |
| 36416 |
|
266 |
187 |
$2K |
| 87428 |
|
24 |
24 |
$1K |
| 90680 |
|
216 |
166 |
$1K |
| 90686 |
|
201 |
158 |
$1K |
| 90710 |
|
91 |
58 |
$1K |
| 90723 |
|
161 |
125 |
$1K |
| 99000 |
|
41 |
36 |
$961.86 |
| 85018 |
|
315 |
214 |
$691.36 |
| 90651 |
|
18 |
12 |
$509.91 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
29 |
$453.85 |
| 90697 |
|
23 |
16 |
$384.33 |
| 90656 |
|
13 |
12 |
$219.27 |
| 99173 |
|
27 |
26 |
$193.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$188.40 |
| 3074F |
|
22 |
22 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
13 |
$0.00 |
| 3078F |
|
22 |
22 |
$0.00 |