| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,212 |
3,883 |
$201K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,025 |
985 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
372 |
364 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,846 |
1,786 |
$24K |
| 87428 |
|
430 |
421 |
$23K |
| 99215 |
Prolong outpt/office vis |
307 |
295 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,648 |
723 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
218 |
217 |
$16K |
| 99429 |
|
304 |
303 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
97 |
97 |
$7K |
| 90677 |
|
119 |
114 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
296 |
265 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
530 |
436 |
$4K |
| 87807 |
|
321 |
308 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
46 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
140 |
140 |
$3K |
| 90619 |
|
13 |
13 |
$2K |
| 99383 |
|
16 |
16 |
$1K |
| 99381 |
|
13 |
12 |
$985.55 |
| 90461 |
|
668 |
523 |
$791.78 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$455.18 |
| 92552 |
|
100 |
97 |
$136.85 |
| 92551 |
|
37 |
37 |
$89.58 |
| 96160 |
|
47 |
46 |
$8.28 |
| 90697 |
|
71 |
71 |
$0.00 |
| 90698 |
|
68 |
66 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| 96127 |
|
82 |
67 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90686 |
|
21 |
21 |
$0.00 |
| 90633 |
|
114 |
112 |
$0.00 |
| 90670 |
|
119 |
119 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 99173 |
|
167 |
163 |
$0.00 |
| 90681 |
|
56 |
53 |
$0.00 |
| 90707 |
|
30 |
29 |
$0.00 |