| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,230 |
2,067 |
$207K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,680 |
2,533 |
$189K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
407 |
407 |
$36K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
584 |
584 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,462 |
1,439 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
153 |
153 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
223 |
223 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
922 |
915 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
332 |
312 |
$16K |
| 99382 |
|
121 |
121 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
126 |
126 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
116 |
114 |
$5K |
| 99381 |
|
51 |
51 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
169 |
169 |
$3K |
| 90474 |
|
179 |
179 |
$3K |
| 99383 |
|
25 |
25 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
22 |
22 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
99 |
92 |
$2K |
| 90686 |
|
169 |
169 |
$81.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
67 |
67 |
$0.67 |
| 90707 |
|
91 |
91 |
$0.00 |
| 90670 |
|
377 |
377 |
$0.00 |
| 90633 |
|
119 |
119 |
$0.00 |
| 90648 |
|
45 |
45 |
$0.00 |
| 90716 |
|
92 |
92 |
$0.00 |
| 90680 |
|
180 |
180 |
$0.00 |
| 90723 |
|
71 |
71 |
$0.00 |
| 90647 |
|
132 |
132 |
$0.00 |