| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,490 |
1,405 |
$127K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,969 |
1,754 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
566 |
538 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,462 |
1,368 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
231 |
224 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
166 |
134 |
$10K |
| 90686 |
|
918 |
856 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
211 |
202 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
69 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
442 |
205 |
$6K |
| 87428 |
|
171 |
165 |
$5K |
| 99173 |
|
1,497 |
1,444 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,620 |
2,428 |
$4K |
| 90670 |
|
52 |
52 |
$1K |
| 90661 |
|
62 |
62 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
29 |
$970.20 |
| 90461 |
|
598 |
575 |
$891.07 |
| 90674 |
|
82 |
82 |
$617.17 |
| 90685 |
|
55 |
54 |
$609.66 |
| 0071A |
|
15 |
15 |
$600.00 |
| 90633 |
|
41 |
41 |
$555.91 |
| 96127 |
|
84 |
74 |
$526.16 |
| 0072A |
|
13 |
13 |
$520.00 |
| 90698 |
|
25 |
25 |
$452.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
230 |
212 |
$199.64 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$106.21 |
| 99051 |
|
20 |
20 |
$40.00 |