| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,359 |
7,427 |
$430K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,236 |
4,146 |
$157K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,708 |
1,678 |
$145K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,483 |
1,448 |
$119K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,214 |
1,193 |
$95K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,705 |
3,833 |
$82K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
673 |
655 |
$51K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,142 |
1,548 |
$40K |
| 99429 |
|
842 |
832 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,066 |
2,001 |
$27K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
487 |
449 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,143 |
837 |
$9K |
| 90461 |
|
1,697 |
1,377 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
56 |
53 |
$4K |
| 96160 |
|
1,779 |
1,747 |
$3K |
| 90688 |
|
855 |
837 |
$750.75 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$738.72 |
| 90620 |
|
251 |
251 |
$516.05 |
| 90734 |
|
362 |
362 |
$309.44 |
| 90686 |
|
884 |
880 |
$218.80 |
| 81002 |
|
15 |
13 |
$43.80 |
| 90670 |
|
534 |
526 |
$0.00 |
| 90715 |
|
41 |
41 |
$0.00 |
| 90648 |
|
314 |
310 |
$0.00 |
| 90633 |
|
87 |
87 |
$0.00 |
| 90707 |
|
38 |
37 |
$0.00 |
| 90658 |
|
191 |
191 |
$0.00 |
| 90700 |
|
37 |
37 |
$0.00 |
| 90710 |
|
70 |
70 |
$0.00 |
| 90680 |
|
191 |
190 |
$0.00 |
| 90716 |
|
26 |
25 |
$0.00 |
| 90651 |
|
371 |
369 |
$0.00 |
| 90723 |
|
53 |
53 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |