| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,170 |
1,859 |
$199K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,144 |
1,085 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
340 |
321 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,086 |
976 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
139 |
133 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
105 |
102 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
59 |
55 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
90 |
76 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
33 |
31 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 90461 |
|
70 |
66 |
$153.75 |
| 90688 |
|
138 |
135 |
$139.76 |
| 99050 |
|
16 |
13 |
$30.56 |
| 90686 |
|
16 |
16 |
$0.00 |