| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,555 |
1,335 |
$148K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
509 |
448 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
589 |
532 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
219 |
218 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
111 |
102 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
657 |
625 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,243 |
942 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
154 |
135 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
372 |
178 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
277 |
257 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
147 |
135 |
$3K |
| 90461 |
|
84 |
68 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
49 |
46 |
$995.71 |
| 99071 |
|
197 |
178 |
$564.54 |
| 94760 |
|
87 |
70 |
$94.35 |
| 90686 |
|
221 |
214 |
$16.42 |