| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,029 |
4,083 |
$258K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,385 |
2,205 |
$86K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,822 |
2,572 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,634 |
844 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
340 |
321 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,018 |
486 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
160 |
152 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
434 |
365 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
38 |
$3K |
| 87276 |
|
156 |
145 |
$2K |
| 87275 |
|
158 |
145 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$976.56 |
| 87807 |
|
82 |
78 |
$891.00 |
| 90461 |
|
102 |
85 |
$721.93 |
| 92551 |
|
109 |
105 |
$686.00 |
| 90685 |
|
82 |
82 |
$0.00 |
| 90686 |
|
151 |
143 |
$0.00 |
| 90656 |
|
84 |
84 |
$0.00 |