| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,848 |
3,330 |
$176K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
906 |
595 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,186 |
1,046 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,018 |
2,687 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
487 |
315 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
230 |
207 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
389 |
340 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,395 |
1,993 |
$13K |
| 87428 |
|
439 |
385 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,074 |
1,008 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,056 |
537 |
$8K |
| S9470 |
Nutritional counseling, dietitian visit |
1,916 |
1,455 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
436 |
402 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
46 |
$4K |
| 99460 |
|
45 |
44 |
$3K |
| 87807 |
|
122 |
115 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
12 |
$941.03 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
65 |
53 |
$699.25 |
| 92587 |
|
15 |
15 |
$85.29 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
26 |
16 |
$11.13 |
| 90680 |
|
82 |
78 |
$0.00 |
| 96127 |
|
120 |
111 |
$0.00 |
| 90686 |
|
62 |
55 |
$0.00 |
| 90723 |
|
15 |
14 |
$0.00 |
| 90670 |
|
177 |
154 |
$0.00 |
| 90710 |
|
15 |
12 |
$0.00 |
| 99177 |
|
17 |
17 |
$0.00 |
| 90648 |
|
85 |
73 |
$0.00 |
| 90633 |
|
14 |
12 |
$0.00 |