| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,544 |
2,334 |
$236K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,399 |
2,249 |
$157K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,147 |
2,048 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
623 |
600 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
409 |
364 |
$35K |
| 87428 |
|
360 |
342 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,048 |
1,843 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
161 |
159 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
588 |
549 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
182 |
170 |
$8K |
| 99177 |
|
164 |
160 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
82 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
26 |
$810.95 |
| 96127 |
|
14 |
14 |
$266.56 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
12 |
$252.00 |
| 90686 |
|
664 |
647 |
$20.03 |
| 90697 |
|
110 |
110 |
$0.00 |
| 90680 |
|
71 |
71 |
$0.00 |
| 90656 |
|
91 |
89 |
$0.00 |
| 36416 |
|
19 |
12 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 90671 |
|
196 |
190 |
$0.00 |