| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
642 |
594 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
679 |
628 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
315 |
312 |
$25K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
160 |
157 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
337 |
323 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,108 |
1,031 |
$12K |
| 90677 |
|
46 |
46 |
$6K |
| 90461 |
|
592 |
568 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
50 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
90 |
89 |
$811.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
47 |
$665.86 |
| 90723 |
|
134 |
132 |
$558.59 |
| 90670 |
|
234 |
227 |
$486.48 |
| 90648 |
|
322 |
314 |
$223.10 |
| 87807 |
|
14 |
14 |
$143.00 |
| 90680 |
|
84 |
83 |
$104.38 |
| 90473 |
|
58 |
57 |
$40.53 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$34.30 |
| 90633 |
|
24 |
24 |
$0.00 |
| 90687 |
|
95 |
94 |
$0.00 |
| 96127 |
|
15 |
14 |
$0.00 |