| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,180 |
1,826 |
$112K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
412 |
405 |
$32K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
241 |
230 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
282 |
251 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
730 |
301 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,174 |
1,065 |
$9K |
| 99429 |
|
350 |
341 |
$8K |
| 99383 |
|
62 |
62 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
86 |
86 |
$5K |
| 99382 |
|
67 |
67 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
40 |
$4K |
| 92551 |
|
415 |
408 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
347 |
229 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
314 |
296 |
$3K |
| 99384 |
|
26 |
26 |
$3K |
| S8301 |
Infection control supplies, not otherwise specified |
264 |
252 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
233 |
226 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
38 |
34 |
$963.28 |
| 87430 |
|
123 |
110 |
$909.48 |
| 96127 |
|
414 |
345 |
$490.00 |
| 90674 |
|
12 |
12 |
$436.42 |
| 90461 |
|
121 |
98 |
$320.20 |
| 87400 |
|
27 |
14 |
$260.21 |
| 99401 |
|
74 |
73 |
$227.50 |
| 90686 |
|
43 |
38 |
$73.48 |
| 90670 |
|
126 |
118 |
$0.00 |
| 99173 |
|
416 |
408 |
$0.00 |
| 90698 |
|
86 |
79 |
$0.00 |
| 90680 |
|
42 |
37 |
$0.00 |
| 90744 |
|
46 |
44 |
$0.00 |