| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,956 |
1,778 |
$177K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,467 |
1,221 |
$117K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,242 |
2,138 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
919 |
881 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
806 |
773 |
$51K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,360 |
1,982 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
194 |
186 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
380 |
360 |
$16K |
| 87428 |
|
158 |
154 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
43 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
227 |
114 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
153 |
143 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
260 |
221 |
$3K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
122 |
98 |
$2K |
| 96127 |
|
87 |
84 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
87 |
$1K |
| 87634 |
|
15 |
15 |
$1K |
| 99177 |
|
98 |
97 |
$970.00 |
| 90651 |
|
14 |
14 |
$253.60 |
| 90686 |
|
737 |
700 |
$95.32 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$36.00 |
| 90670 |
|
811 |
783 |
$0.00 |
| 90633 |
|
119 |
116 |
$0.00 |
| 90671 |
|
15 |
13 |
$0.00 |
| 90697 |
|
377 |
374 |
$0.00 |
| 90647 |
|
116 |
109 |
$0.00 |
| 90680 |
|
494 |
482 |
$0.00 |
| 36416 |
|
317 |
177 |
$0.00 |
| 90723 |
|
135 |
125 |
$0.00 |