| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
809 |
701 |
$36K |
| 90677 |
|
110 |
106 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
313 |
293 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
296 |
281 |
$17K |
| 90671 |
|
69 |
61 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
273 |
247 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
706 |
627 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
389 |
358 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
401 |
371 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
351 |
332 |
$3K |
| 87807 |
|
197 |
183 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
23 |
$477.72 |
| 90461 |
|
462 |
414 |
$109.70 |
| 85018 |
|
58 |
54 |
$49.49 |
| 99051 |
|
296 |
251 |
$0.00 |
| 90710 |
|
15 |
13 |
$0.00 |
| 90681 |
|
19 |
17 |
$0.00 |
| 90633 |
|
32 |
29 |
$0.00 |
| 36416 |
|
57 |
54 |
$0.00 |
| 96161 |
|
438 |
399 |
$0.00 |
| 90686 |
|
66 |
63 |
$0.00 |
| 90697 |
|
98 |
86 |
$0.00 |