| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
728 |
694 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
567 |
542 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
368 |
368 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,262 |
1,258 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
236 |
233 |
$21K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
548 |
547 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
86 |
85 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
79 |
77 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
25 |
25 |
$967.85 |
| 96161 |
|
77 |
76 |
$359.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
24 |
$224.04 |
| 90672 |
|
111 |
111 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90670 |
|
100 |
100 |
$0.00 |
| 96160 |
|
107 |
107 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 90686 |
|
309 |
309 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90656 |
|
41 |
41 |
$0.00 |
| 90647 |
|
26 |
26 |
$0.00 |