| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,977 |
1,640 |
$98K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
918 |
786 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,422 |
1,206 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,393 |
1,190 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,212 |
1,705 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
129 |
119 |
$9K |
| 99429 |
|
135 |
122 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
437 |
382 |
$2K |
| 90461 |
|
525 |
479 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
57 |
$867.36 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
26 |
25 |
$595.92 |
| 90670 |
|
116 |
116 |
$0.00 |
| 90648 |
|
124 |
117 |
$0.00 |
| 90671 |
|
82 |
66 |
$0.00 |
| 99072 |
|
17 |
16 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| 90686 |
|
120 |
117 |
$0.00 |
| 99070 |
|
17 |
16 |
$0.00 |
| 36416 |
|
30 |
25 |
$0.00 |
| 90723 |
|
14 |
12 |
$0.00 |