| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,281 |
1,117 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,027 |
1,678 |
$99K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
490 |
419 |
$37K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
419 |
269 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
184 |
167 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
95 |
59 |
$7K |
| 96127 |
|
322 |
262 |
$6K |
| 99000 |
|
313 |
247 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
100 |
92 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
53 |
50 |
$4K |
| 90686 |
|
335 |
278 |
$3K |
| 92551 |
|
196 |
173 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
25 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
86 |
65 |
$2K |
| 36416 |
|
226 |
178 |
$828.20 |
| 0001A |
|
12 |
12 |
$505.68 |
| 83655 |
|
42 |
37 |
$498.12 |
| 90661 |
|
24 |
19 |
$401.04 |
| 85018 |
|
83 |
71 |
$192.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$188.40 |
| 99051 |
|
147 |
115 |
$160.00 |
| 90648 |
|
16 |
13 |
$89.60 |
| 90670 |
|
12 |
12 |
$76.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,245 |
925 |
$0.00 |
| 1003F |
|
842 |
720 |
$0.00 |
| 90461 |
|
204 |
160 |
$0.00 |
| 99177 |
|
121 |
104 |
$0.00 |
| 99072 |
|
317 |
267 |
$0.00 |
| 94760 |
|
122 |
99 |
$0.00 |
| 1036F |
|
40 |
39 |
$0.00 |