| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
763 |
676 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
860 |
777 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
456 |
425 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,048 |
529 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
181 |
162 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
640 |
590 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
99 |
98 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,055 |
998 |
$7K |
| 92587 |
|
452 |
446 |
$3K |
| 99072 |
|
458 |
383 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
186 |
182 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 99383 |
|
18 |
18 |
$1K |
| 99384 |
|
21 |
21 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$942.71 |
| 99401 |
|
786 |
707 |
$528.00 |
| 94760 |
|
438 |
433 |
$231.57 |
| 90461 |
|
29 |
29 |
$5.90 |
| 90656 |
|
28 |
28 |
$0.00 |
| 99173 |
|
423 |
417 |
$0.00 |