| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
867 |
826 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
839 |
809 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
698 |
675 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,502 |
731 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
103 |
103 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
88 |
87 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
90 |
87 |
$7K |
| 97802 |
|
558 |
546 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
221 |
210 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
74 |
70 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
41 |
38 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
250 |
232 |
$2K |
| 90461 |
|
228 |
180 |
$2K |
| 99000 |
|
99 |
99 |
$909.20 |
| 97169 |
|
13 |
13 |
$390.00 |
| 96160 |
|
139 |
138 |
$142.37 |
| 92551 |
|
12 |
12 |
$108.36 |
| 90658 |
|
173 |
172 |
$0.05 |
| 99401 |
|
195 |
190 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |