| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,355 |
1,097 |
$34K |
| 96156 |
|
337 |
334 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
347 |
331 |
$13K |
| G9920 |
Screening performed and negative |
635 |
632 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
133 |
132 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
70 |
66 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
178 |
134 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
67 |
67 |
$2K |
| 92551 |
|
397 |
394 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
121 |
121 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
244 |
240 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
51 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
611 |
571 |
$836.20 |
| 99000 |
|
284 |
262 |
$462.83 |
| 90686 |
|
74 |
73 |
$364.47 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
160 |
159 |
$355.68 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$119.98 |
| 90707 |
|
28 |
28 |
$90.00 |
| 96127 |
|
133 |
133 |
$86.43 |
| 90716 |
|
28 |
28 |
$81.00 |
| 81000 |
|
16 |
14 |
$5.46 |
| 99173 |
|
44 |
44 |
$0.00 |