| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,491 |
2,336 |
$137K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
931 |
921 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,254 |
1,213 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
496 |
488 |
$48K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
937 |
883 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,052 |
1,992 |
$37K |
| S8301 |
Infection control supplies, not otherwise specified |
2,259 |
2,048 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,163 |
1,101 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
315 |
315 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
545 |
525 |
$8K |
| 90461 |
|
704 |
567 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
256 |
188 |
$2K |
| 99429 |
|
27 |
27 |
$977.66 |
| 97169 |
|
27 |
27 |
$801.60 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,031 |
1,021 |
$1.11 |
| 90688 |
|
690 |
686 |
$0.92 |
| 90686 |
|
104 |
95 |
$0.01 |
| 90670 |
|
38 |
38 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90734 |
|
18 |
18 |
$0.00 |
| 90651 |
|
150 |
148 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |