| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
383 |
333 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
461 |
376 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,016 |
401 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
80 |
77 |
$6K |
| S8301 |
Infection control supplies, not otherwise specified |
511 |
378 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
76 |
74 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
294 |
283 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
30 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
29 |
$569.90 |
| 90461 |
|
140 |
126 |
$493.78 |
| 96160 |
|
704 |
598 |
$127.94 |
| 90686 |
|
102 |
91 |
$35.97 |
| 90680 |
|
15 |
13 |
$0.00 |
| 96161 |
|
40 |
38 |
$0.00 |
| 90723 |
|
14 |
12 |
$0.00 |
| 90670 |
|
32 |
29 |
$0.00 |