| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,047 |
908 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
404 |
358 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
217 |
212 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
736 |
650 |
$20K |
| 99188 |
|
362 |
356 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
81 |
68 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
76 |
72 |
$8K |
| 90461 |
|
77 |
71 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
14 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$700.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
133 |
119 |
$534.14 |
| 92551 |
|
300 |
269 |
$192.74 |
| 99173 |
|
379 |
347 |
$95.48 |
| 90686 |
|
65 |
65 |
$40.00 |
| 96127 |
|
112 |
100 |
$5.09 |
| 90688 |
|
15 |
15 |
$0.00 |
| 91300 |
|
31 |
26 |
$0.00 |