| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,236 |
1,062 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,611 |
1,410 |
$66K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,310 |
1,256 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
797 |
750 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
224 |
219 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
123 |
121 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
99 |
98 |
$4K |
| 90686 |
|
198 |
188 |
$2K |
| 90461 |
|
76 |
74 |
$817.80 |
| 96127 |
|
300 |
291 |
$773.46 |
| 99051 |
|
317 |
293 |
$770.52 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
24 |
$716.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
30 |
$377.85 |
| 97802 |
|
1,282 |
1,223 |
$315.47 |
| 90656 |
|
86 |
86 |
$273.95 |
| 94760 |
|
1,780 |
1,504 |
$89.86 |
| 99173 |
|
641 |
619 |
$80.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$0.00 |