| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,628 |
1,861 |
$105K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
846 |
555 |
$8K |
| 85018 |
|
330 |
267 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
74 |
71 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
128 |
86 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
566 |
406 |
$3K |
| 92587 |
|
253 |
186 |
$2K |
| 96160 |
|
110 |
97 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
224 |
176 |
$2K |
| 36416 |
|
280 |
209 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
123 |
52 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
108 |
83 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
12 |
$795.10 |
| 90686 |
|
24 |
24 |
$493.02 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
36 |
25 |
$220.60 |
| 82962 |
|
133 |
113 |
$219.61 |
| 82465 |
|
40 |
27 |
$33.91 |
| 99174 |
|
472 |
324 |
$0.00 |
| 99000 |
|
20 |
18 |
$0.00 |
| 0486T |
|
22 |
18 |
$0.00 |