| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,378 |
1,700 |
$97K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,965 |
760 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
707 |
527 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
319 |
292 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
274 |
221 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
204 |
178 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
272 |
231 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
695 |
345 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
604 |
531 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
30 |
$2K |
| 99383 |
|
55 |
55 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
15 |
$1K |
| 31720 |
|
42 |
35 |
$930.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$762.17 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
77 |
65 |
$389.75 |
| 99384 |
|
15 |
15 |
$285.23 |
| 90671 |
|
16 |
16 |
$238.88 |
| 90461 |
|
177 |
148 |
$222.26 |
| 99382 |
|
15 |
14 |
$184.94 |
| 87807 |
|
15 |
12 |
$98.22 |
| 92551 |
|
15 |
15 |
$25.64 |
| 99051 |
|
179 |
150 |
$0.10 |
| 90670 |
|
158 |
135 |
$0.00 |
| 90672 |
|
13 |
13 |
$0.00 |
| 90633 |
|
39 |
38 |
$0.00 |
| 99173 |
|
20 |
19 |
$0.00 |
| 96161 |
|
81 |
53 |
$0.00 |
| 90680 |
|
13 |
12 |
$0.00 |