| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,376 |
2,087 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
248 |
228 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
30 |
$999.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
55 |
$448.59 |
| 90686 |
|
76 |
76 |
$351.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
176 |
171 |
$156.33 |
| 92551 |
|
104 |
104 |
$73.82 |
| 99173 |
|
129 |
129 |
$35.09 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
12 |
$0.00 |
| 83655 |
|
30 |
30 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |