| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,080 |
981 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,271 |
1,178 |
$92K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
544 |
521 |
$13K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
349 |
291 |
$8K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
175 |
127 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
493 |
362 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
93 |
83 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
56 |
56 |
$4K |
| 99401 |
|
133 |
122 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
39 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
113 |
112 |
$3K |
| 96112 |
|
27 |
27 |
$2K |
| 90461 |
|
56 |
54 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$2K |
| 99177 |
|
212 |
205 |
$829.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
29 |
$689.14 |
| 96127 |
|
166 |
126 |
$614.53 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$605.93 |
| 99188 |
|
52 |
51 |
$596.41 |
| 85018 |
|
268 |
265 |
$542.09 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
48 |
$520.87 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
38 |
$377.35 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
29 |
$189.60 |
| 96160 |
|
15 |
15 |
$54.61 |
| 36416 |
|
13 |
12 |
$26.52 |
| 90686 |
|
109 |
69 |
$1.09 |