| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
662 |
585 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
364 |
342 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
227 |
221 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
268 |
239 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
92 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
103 |
92 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
366 |
346 |
$6K |
| 90686 |
|
334 |
321 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
92 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
183 |
175 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
833 |
737 |
$3K |
| 96127 |
|
40 |
37 |
$850.00 |
| 90710 |
|
13 |
13 |
$818.98 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$418.65 |
| 90656 |
|
20 |
17 |
$153.54 |
| 90461 |
|
135 |
129 |
$127.38 |
| 99173 |
|
13 |
13 |
$26.38 |
| 94760 |
|
31 |
26 |
$26.26 |
| 99072 |
|
313 |
274 |
$11.25 |