| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,290 |
1,070 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
726 |
616 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
247 |
223 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
821 |
674 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,479 |
1,264 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
103 |
90 |
$8K |
| 90461 |
|
219 |
175 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
86 |
72 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
127 |
75 |
$3K |
| 90670 |
|
56 |
54 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
40 |
34 |
$705.74 |
| 90686 |
|
38 |
31 |
$450.68 |
| 87807 |
|
42 |
32 |
$371.38 |
| 96127 |
|
13 |
12 |
$47.15 |
| 99173 |
|
13 |
12 |
$21.04 |
| 99072 |
|
749 |
559 |
$0.00 |
| 90698 |
|
26 |
26 |
$0.00 |
| 99050 |
|
14 |
13 |
$0.00 |