| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
824 |
753 |
$58K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
641 |
554 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
758 |
712 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
94 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
64 |
52 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
39 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
35 |
30 |
$2K |
| 99382 |
|
16 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
40 |
$610.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
19 |
15 |
$538.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
38 |
$489.44 |
| 96127 |
|
92 |
68 |
$346.12 |
| 90686 |
|
131 |
110 |
$200.40 |
| 90670 |
|
27 |
12 |
$158.88 |
| 96161 |
|
28 |
24 |
$115.00 |
| 90656 |
|
20 |
19 |
$15.55 |
| 99173 |
|
276 |
233 |
$2.19 |
| 90461 |
|
106 |
90 |
$0.00 |
| 90672 |
|
15 |
15 |
$0.00 |