| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
686 |
612 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
821 |
736 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
438 |
416 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
490 |
427 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,597 |
776 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,084 |
950 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
70 |
64 |
$5K |
| 90461 |
|
447 |
388 |
$4K |
| 92551 |
|
234 |
223 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
29 |
29 |
$1K |
| 85027 |
|
209 |
196 |
$1K |
| 87428 |
|
14 |
14 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$997.90 |
| 96127 |
|
132 |
122 |
$635.57 |
| 99173 |
|
495 |
469 |
$210.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$166.68 |
| 87807 |
|
17 |
16 |
$165.00 |
| 90670 |
|
259 |
248 |
$0.37 |
| 90680 |
|
103 |
101 |
$0.27 |
| 90686 |
|
46 |
45 |
$0.01 |
| 90744 |
|
17 |
16 |
$0.01 |
| 90698 |
|
117 |
115 |
$0.00 |