| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
728 |
662 |
$69K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,342 |
1,281 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
913 |
831 |
$59K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,072 |
1,018 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
142 |
141 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
80 |
77 |
$7K |
| 99173 |
|
283 |
267 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
13 |
13 |
$2K |
| 81002 |
|
585 |
554 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
46 |
$862.17 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
23 |
23 |
$807.07 |
| 96127 |
|
26 |
26 |
$390.00 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
558 |
529 |
$184.23 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$133.92 |
| 90688 |
|
385 |
383 |
$87.93 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
29 |
$42.00 |
| 90461 |
|
274 |
269 |
$0.00 |
| 90687 |
|
13 |
13 |
$0.00 |
| 90713 |
|
27 |
25 |
$0.00 |
| 90700 |
|
77 |
75 |
$0.00 |
| 90670 |
|
25 |
24 |
$0.00 |