| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,817 |
1,647 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,610 |
2,419 |
$99K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,218 |
1,030 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
305 |
282 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
288 |
249 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
995 |
863 |
$11K |
| 99051 |
|
488 |
427 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
135 |
130 |
$7K |
| 96127 |
|
690 |
632 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
94 |
82 |
$3K |
| 92587 |
|
166 |
150 |
$3K |
| 90670 |
|
139 |
107 |
$2K |
| 99174 |
|
204 |
177 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
66 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
42 |
$908.23 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
63 |
$903.15 |
| 99383 |
|
12 |
12 |
$841.56 |
| 90686 |
|
139 |
127 |
$786.58 |
| 99188 |
|
36 |
34 |
$568.95 |
| 90697 |
|
69 |
47 |
$139.52 |
| 90680 |
|
73 |
50 |
$32.17 |