| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,296 |
3,035 |
$166K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,434 |
1,337 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
529 |
507 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,128 |
1,072 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
472 |
460 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,480 |
1,669 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,328 |
1,107 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
379 |
367 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
294 |
277 |
$25K |
| 90461 |
|
955 |
868 |
$5K |
| 99460 |
|
41 |
41 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
120 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
74 |
68 |
$1K |
| 83655 |
|
45 |
44 |
$447.48 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$411.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
33 |
$211.68 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
25 |
$203.50 |
| 90672 |
|
145 |
136 |
$0.11 |
| 90677 |
|
28 |
28 |
$0.08 |
| 90670 |
|
270 |
261 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90686 |
|
439 |
432 |
$0.00 |
| 90698 |
|
149 |
146 |
$0.00 |
| 90680 |
|
43 |
39 |
$0.00 |
| 90656 |
|
51 |
51 |
$0.00 |