| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,094 |
1,054 |
$231K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,256 |
1,229 |
$113K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
568 |
554 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
581 |
337 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
118 |
118 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
558 |
552 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
65 |
65 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
318 |
314 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
168 |
168 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54 |
50 |
$6K |
| 96127 |
|
319 |
319 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
45 |
45 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
261 |
261 |
$4K |
| 87081 |
|
218 |
216 |
$2K |
| 99051 |
|
77 |
77 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
80 |
80 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$518.72 |