| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,130 |
1,017 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
363 |
341 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
516 |
459 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
438 |
432 |
$15K |
| 99173 |
|
318 |
317 |
$9K |
| 90461 |
|
108 |
100 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
398 |
391 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
46 |
46 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
59 |
56 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$4K |
| 92551 |
|
321 |
315 |
$4K |
| 96127 |
|
366 |
341 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
232 |
222 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
54 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
115 |
110 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
31 |
13 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99072 |
|
46 |
40 |
$550.00 |
| 87807 |
|
20 |
19 |
$228.45 |
| 85018 |
|
24 |
24 |
$64.07 |
| 90686 |
|
51 |
51 |
$0.49 |
| 90672 |
|
26 |
26 |
$0.23 |