| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,296 |
1,166 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,087 |
1,853 |
$130K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,454 |
1,365 |
$44K |
| 92587 |
|
857 |
822 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
149 |
146 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
134 |
131 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
202 |
180 |
$16K |
| 96127 |
|
576 |
466 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
223 |
185 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
120 |
108 |
$9K |
| 96160 |
|
357 |
349 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
124 |
102 |
$3K |
| 36416 |
|
798 |
724 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
67 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
122 |
107 |
$1K |
| 87807 |
|
58 |
56 |
$652.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
17 |
$428.52 |
| 99173 |
|
68 |
67 |
$423.32 |
| 85018 |
|
728 |
682 |
$83.12 |
| 81002 |
|
1,111 |
1,042 |
$79.56 |
| 90686 |
|
480 |
459 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
17 |
16 |
$0.00 |
| 90670 |
|
27 |
26 |
$0.00 |
| 90461 |
|
35 |
32 |
$0.00 |