| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,647 |
1,417 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,408 |
1,230 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
692 |
659 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
83 |
69 |
$3K |
| 90651 |
|
14 |
12 |
$2K |
| 96127 |
|
328 |
304 |
$2K |
| 90686 |
|
219 |
218 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
118 |
107 |
$851.44 |
| 81002 |
|
391 |
374 |
$821.56 |
| 85018 |
|
406 |
391 |
$785.89 |
| 99000 |
|
209 |
190 |
$773.43 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
13 |
$588.90 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$458.21 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
13 |
$437.61 |
| 0004A |
|
20 |
16 |
$378.00 |
| 92552 |
|
21 |
15 |
$315.36 |
| 92551 |
|
32 |
30 |
$291.27 |
| 0072A |
|
13 |
13 |
$246.00 |
| 99173 |
|
68 |
59 |
$150.52 |
| 0002A |
|
14 |
14 |
$42.00 |
| 99401 |
|
47 |
45 |
$22.88 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
47 |
47 |
$0.00 |
| 96160 |
|
326 |
318 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
13 |
$0.00 |
| 36416 |
|
321 |
311 |
$0.00 |
| 99058 |
|
26 |
24 |
$0.00 |