| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
631 |
559 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
659 |
524 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
156 |
118 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
118 |
114 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
65 |
51 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
13 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
33 |
26 |
$516.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$137.84 |
| 90461 |
|
122 |
115 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90658 |
|
17 |
16 |
$0.00 |
| 90686 |
|
180 |
141 |
$0.00 |