| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
795 |
532 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
979 |
698 |
$61K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
237 |
145 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
162 |
108 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
878 |
316 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
525 |
356 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
147 |
126 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
179 |
122 |
$4K |
| 92552 |
|
448 |
304 |
$3K |
| 96127 |
|
554 |
366 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
47 |
25 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
606 |
417 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
97 |
68 |
$808.93 |
| 99173 |
|
612 |
425 |
$605.67 |
| 90686 |
|
160 |
115 |
$108.80 |
| 96161 |
|
59 |
51 |
$47.88 |
| 96160 |
|
292 |
189 |
$29.92 |
| 90734 |
|
43 |
26 |
$0.00 |