| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,505 |
1,335 |
$120K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
911 |
868 |
$52K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
397 |
378 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
83 |
78 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
24 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
240 |
240 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
40 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
47 |
$749.78 |
| 90682 |
|
12 |
12 |
$567.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$223.56 |
| 90686 |
|
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |