| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,571 |
3,285 |
$163K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,414 |
2,262 |
$76K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,489 |
1,394 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
217 |
198 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
146 |
139 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
874 |
375 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
99 |
89 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
73 |
68 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
800 |
752 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
636 |
240 |
$2K |
| 94760 |
|
792 |
753 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
22 |
$247.50 |
| 92551 |
|
102 |
92 |
$153.23 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
14 |
$105.82 |
| 99072 |
|
799 |
743 |
$0.00 |
| 90461 |
|
201 |
162 |
$0.00 |
| 99173 |
|
64 |
57 |
$0.00 |
| 90670 |
|
48 |
46 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
17 |
16 |
$0.00 |
| 90688 |
|
216 |
184 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| 90697 |
|
25 |
25 |
$0.00 |
| 3008F |
|
19 |
19 |
$0.00 |