| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,087 |
5,625 |
$364K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,998 |
4,585 |
$191K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,636 |
2,472 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
367 |
361 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
264 |
234 |
$13K |
| 99174 |
|
890 |
854 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
131 |
124 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
555 |
268 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
285 |
280 |
$5K |
| 90686 |
|
954 |
913 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
228 |
192 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
15 |
$948.60 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
56 |
44 |
$697.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
44 |
$606.98 |
| 92587 |
|
26 |
24 |
$476.53 |
| 92567 |
|
24 |
24 |
$294.87 |
| 96127 |
|
86 |
78 |
$289.87 |
| 90698 |
|
152 |
137 |
$140.00 |
| 90680 |
|
85 |
77 |
$80.00 |
| 90670 |
|
146 |
129 |
$50.00 |
| 85018 |
|
18 |
18 |
$45.72 |
| 90744 |
|
45 |
42 |
$40.00 |
| 90685 |
|
82 |
81 |
$40.00 |
| 81002 |
|
13 |
12 |
$20.32 |
| 94760 |
|
53 |
49 |
$0.00 |
| 90461 |
|
385 |
366 |
$0.00 |
| 99072 |
|
1,432 |
1,258 |
$0.00 |