| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
145 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
202 |
180 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
170 |
170 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
114 |
108 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
109 |
104 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
33 |
33 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 92587 |
|
86 |
86 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
136 |
122 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
27 |
$411.60 |
| 96380 |
|
13 |
13 |
$255.62 |
| 99173 |
|
47 |
47 |
$129.25 |
| 96127 |
|
31 |
28 |
$119.66 |
| 90656 |
|
49 |
49 |
$0.03 |
| 90677 |
|
30 |
30 |
$0.00 |
| 96160 |
|
50 |
49 |
$0.00 |
| 90681 |
|
14 |
14 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |