| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
813 |
810 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
680 |
657 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
502 |
502 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,036 |
1,002 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
650 |
631 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
346 |
345 |
$29K |
| T1015 |
Clinic visit/encounter, all-inclusive |
54 |
49 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
443 |
216 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
122 |
121 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
296 |
296 |
$3K |
| 99460 |
|
73 |
73 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
91 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
183 |
180 |
$2K |
| 99173 |
|
640 |
638 |
$2K |
| 92551 |
|
634 |
634 |
$1K |
| 96161 |
|
373 |
370 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
25 |
$1K |
| 90698 |
|
281 |
280 |
$1K |
| 90670 |
|
427 |
423 |
$869.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
453 |
445 |
$504.02 |
| 90744 |
|
26 |
26 |
$154.00 |
| 90651 |
|
40 |
40 |
$143.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
18 |
$140.42 |
| 90680 |
|
164 |
164 |
$132.00 |
| 90633 |
|
83 |
83 |
$132.00 |
| 90734 |
|
26 |
26 |
$132.00 |
| 96127 |
|
294 |
294 |
$96.80 |
| 96160 |
|
420 |
420 |
$38.30 |
| 85018 |
|
13 |
13 |
$10.29 |
| 90686 |
|
36 |
36 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90619 |
|
38 |
38 |
$0.00 |
| 3074F |
|
31 |
29 |
$0.00 |
| 90697 |
|
16 |
16 |
$0.00 |
| 3078F |
|
31 |
29 |
$0.00 |
| 83655 |
|
41 |
41 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |