| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,288 |
7,402 |
$879K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,302 |
10,805 |
$872K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,592 |
4,397 |
$529K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,915 |
3,583 |
$418K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,687 |
1,601 |
$190K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,036 |
7,517 |
$184K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
588 |
525 |
$65K |
| 99381 |
|
497 |
444 |
$42K |
| 92552 |
|
2,175 |
2,046 |
$12K |
| 90716 |
|
1,297 |
1,237 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,104 |
1,035 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,474 |
1,345 |
$8K |
| 99188 |
|
906 |
872 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,617 |
1,514 |
$5K |
| 99215 |
Prolong outpt/office vis |
36 |
27 |
$4K |
| 90686 |
|
1,123 |
1,096 |
$3K |
| H0049 |
Alcohol and/or drug screening |
524 |
431 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
25 |
$3K |
| 99383 |
|
15 |
15 |
$3K |
| 90670 |
|
2,153 |
2,063 |
$2K |
| 99382 |
|
14 |
14 |
$2K |
| 90707 |
|
1,277 |
1,217 |
$2K |
| 90698 |
|
1,426 |
1,342 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
965 |
914 |
$2K |
| 90671 |
|
204 |
183 |
$2K |
| 90461 |
|
1,000 |
978 |
$2K |
| 90633 |
|
1,458 |
1,394 |
$1K |
| 90700 |
|
1,400 |
1,334 |
$961.28 |
| 90648 |
|
1,292 |
1,234 |
$583.90 |
| 96160 |
|
926 |
797 |
$530.37 |
| 90696 |
|
272 |
260 |
$433.96 |
| 0002A |
|
13 |
13 |
$400.57 |
| 87807 |
|
229 |
219 |
$369.92 |
| 90677 |
|
569 |
520 |
$318.66 |
| 90680 |
|
2,189 |
2,051 |
$309.29 |
| 91300 |
|
17 |
12 |
$281.33 |
| 90744 |
|
1,373 |
1,295 |
$279.41 |
| 96127 |
|
470 |
442 |
$174.11 |
| 81002 |
|
194 |
188 |
$155.77 |
| 90655 |
|
13 |
13 |
$100.00 |
| 90713 |
|
306 |
298 |
$60.02 |
| 90656 |
|
109 |
108 |
$41.26 |
| 99174 |
|
579 |
539 |
$2.14 |
| 90734 |
|
116 |
105 |
$0.00 |
| 90715 |
|
70 |
63 |
$0.00 |
| 90697 |
|
66 |
63 |
$0.00 |
| 91307 |
|
14 |
14 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
219 |
199 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
219 |
199 |
$0.00 |
| 90651 |
|
140 |
124 |
$0.00 |
| 85018 |
|
83 |
67 |
$0.00 |
| 99000 |
|
24 |
24 |
$0.00 |