| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,807 |
2,457 |
$217K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,034 |
1,707 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
306 |
297 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
292 |
282 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,083 |
841 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
132 |
128 |
$12K |
| 92552 |
|
388 |
382 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
71 |
62 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,246 |
1,121 |
$4K |
| 90461 |
|
326 |
274 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
492 |
365 |
$2K |
| 96127 |
|
91 |
75 |
$984.57 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
38 |
37 |
$772.40 |
| 81003 |
|
410 |
402 |
$613.66 |
| 81002 |
|
387 |
363 |
$581.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
247 |
120 |
$561.59 |
| 99442 |
|
17 |
14 |
$352.19 |
| 92551 |
|
100 |
76 |
$61.30 |
| 99000 |
|
484 |
417 |
$7.50 |
| 99173 |
|
79 |
42 |
$6.62 |
| 90688 |
|
28 |
27 |
$0.00 |