| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
588 |
554 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
838 |
791 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
257 |
257 |
$21K |
| 99215 |
Prolong outpt/office vis |
184 |
171 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
261 |
260 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
210 |
210 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
83 |
$8K |
| 99188 |
|
235 |
235 |
$5K |
| 87428 |
|
70 |
67 |
$4K |
| 90686 |
|
298 |
287 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
67 |
64 |
$2K |
| 90648 |
|
174 |
171 |
$2K |
| 90670 |
|
174 |
171 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
43 |
42 |
$2K |
| 90723 |
|
118 |
116 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
81 |
$1K |
| 90680 |
|
96 |
94 |
$1K |
| 92551 |
|
357 |
357 |
$393.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
14 |
$374.70 |
| 90633 |
|
33 |
31 |
$341.00 |
| 99173 |
|
137 |
137 |
$300.00 |
| 90734 |
|
12 |
12 |
$144.00 |
| 90651 |
|
13 |
13 |
$143.00 |
| 90707 |
|
14 |
12 |
$133.00 |
| 90716 |
|
14 |
12 |
$133.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
115 |
115 |
$38.50 |
| 85018 |
|
45 |
45 |
$7.26 |
| 96127 |
|
199 |
199 |
$4.40 |
| 99177 |
|
352 |
352 |
$0.00 |
| 96160 |
|
198 |
198 |
$0.00 |
| 96161 |
|
153 |
152 |
$0.00 |