| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
863 |
814 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
736 |
715 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
401 |
399 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
599 |
585 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
140 |
140 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
239 |
233 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
350 |
345 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
50 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
188 |
188 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
94 |
88 |
$4K |
| 99188 |
|
81 |
81 |
$2K |
| 87807 |
|
73 |
70 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$733.72 |
| 96127 |
|
44 |
44 |
$220.43 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
12 |
$220.15 |
| 96160 |
|
42 |
42 |
$182.69 |
| 96161 |
|
13 |
13 |
$56.55 |
| 90688 |
|
99 |
99 |
$19.73 |
| 90670 |
|
60 |
60 |
$0.01 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
331 |
331 |
$0.00 |
| 3008F |
|
246 |
246 |
$0.00 |
| 90686 |
|
99 |
99 |
$0.00 |
| 99072 |
|
624 |
564 |
$0.00 |
| 90685 |
|
28 |
28 |
$0.00 |
| 90648 |
|
48 |
48 |
$0.00 |