| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
377 |
364 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
552 |
522 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
145 |
145 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
514 |
319 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
97 |
97 |
$22K |
| 96127 |
|
262 |
262 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
209 |
207 |
$6K |
| 90461 |
|
211 |
76 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
91 |
91 |
$4K |
| 87081 |
|
180 |
178 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
26 |
26 |
$2K |
| 94010 |
|
24 |
12 |
$973.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
40 |
40 |
$957.12 |
| 99188 |
|
12 |
12 |
$811.20 |
| 99051 |
|
13 |
13 |
$390.00 |
| 92551 |
|
14 |
14 |
$319.76 |