| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,845 |
1,754 |
$167K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,333 |
2,153 |
$148K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
858 |
765 |
$97K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
722 |
718 |
$78K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
624 |
617 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
357 |
351 |
$40K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
503 |
491 |
$21K |
| 92551 |
|
1,670 |
1,648 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
193 |
186 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
106 |
98 |
$3K |
| 99173 |
|
1,798 |
1,777 |
$1K |
| 96127 |
|
580 |
571 |
$867.97 |
| 99442 |
|
12 |
12 |
$459.58 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
14 |
$295.97 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$266.77 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,221 |
1,901 |
$53.92 |
| 90686 |
|
136 |
133 |
$39.16 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
466 |
457 |
$0.00 |