| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,388 |
2,143 |
$254K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,162 |
2,862 |
$230K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
654 |
586 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
364 |
351 |
$10K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
69 |
69 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
55 |
52 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
190 |
173 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$2K |
| 96127 |
|
494 |
387 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
81 |
61 |
$835.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
21 |
$528.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
56 |
$526.77 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
65 |
53 |
$453.12 |
| 99401 |
|
14 |
12 |
$362.70 |
| 99177 |
|
67 |
67 |
$255.19 |
| 85018 |
|
116 |
114 |
$237.23 |
| 99188 |
|
13 |
13 |
$119.65 |
| 81002 |
|
38 |
38 |
$88.54 |
| 96160 |
|
12 |
12 |
$43.87 |
| 90686 |
|
15 |
14 |
$0.14 |