| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,396 |
1,243 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
332 |
306 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
183 |
181 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
102 |
100 |
$7K |
| 92551 |
|
452 |
438 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
60 |
58 |
$3K |
| 99177 |
|
621 |
607 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
185 |
175 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
79 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
217 |
203 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
46 |
$2K |
| 90686 |
|
139 |
137 |
$2K |
| 96127 |
|
332 |
329 |
$2K |
| 96160 |
|
620 |
578 |
$1K |
| 90688 |
|
91 |
91 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
12 |
$958.59 |
| 90651 |
|
13 |
12 |
$875.87 |
| 90621 |
|
12 |
12 |
$617.81 |
| 90619 |
|
31 |
31 |
$593.69 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
119 |
116 |
$437.69 |
| 94760 |
|
657 |
597 |
$435.34 |