| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,562 |
3,262 |
$314K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,228 |
2,969 |
$195K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,859 |
2,696 |
$118K |
| 92587 |
|
768 |
759 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,644 |
1,472 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
189 |
185 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
673 |
644 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
134 |
130 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
118 |
110 |
$10K |
| 0071A |
|
113 |
62 |
$4K |
| 0072A |
|
69 |
61 |
$4K |
| 99173 |
|
448 |
424 |
$4K |
| 90686 |
|
1,117 |
1,024 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
28 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
204 |
189 |
$3K |
| 94760 |
|
1,126 |
1,005 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
28 |
$1K |
| 90461 |
|
381 |
358 |
$987.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
26 |
$776.84 |
| 90656 |
|
249 |
249 |
$772.20 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
45 |
45 |
$524.29 |
| 99000 |
|
281 |
256 |
$382.76 |
| 90473 |
|
22 |
22 |
$360.09 |
| 90672 |
|
54 |
53 |
$275.40 |
| 92558 |
|
13 |
13 |
$66.21 |
| 90688 |
|
152 |
147 |
$33.64 |
| 91307 |
|
190 |
130 |
$0.03 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90685 |
|
32 |
32 |
$0.00 |