| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,264 |
7,522 |
$514K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,273 |
10,019 |
$473K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,324 |
5,728 |
$202K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,316 |
3,183 |
$188K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,693 |
3,001 |
$181K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,006 |
1,927 |
$112K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,629 |
5,750 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
490 |
455 |
$28K |
| 99174 |
|
2,067 |
1,992 |
$19K |
| 99188 |
|
1,429 |
1,367 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,272 |
1,203 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
369 |
319 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,041 |
611 |
$12K |
| 96127 |
|
2,491 |
1,751 |
$10K |
| 80305 |
|
641 |
588 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
32 |
31 |
$6K |
| 92551 |
|
946 |
874 |
$5K |
| 92552 |
|
350 |
330 |
$4K |
| 96161 |
|
2,203 |
2,061 |
$4K |
| 99215 |
Prolong outpt/office vis |
46 |
38 |
$4K |
| 99383 |
|
61 |
53 |
$3K |
| 99382 |
|
45 |
43 |
$3K |
| 96160 |
|
1,405 |
917 |
$3K |
| 90670 |
|
1,532 |
1,451 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
47 |
$3K |
| 3008F |
|
987 |
969 |
$3K |
| 85018 |
|
1,246 |
1,183 |
$2K |
| 36416 |
|
464 |
424 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
45 |
$1K |
| 99173 |
|
330 |
304 |
$714.36 |
| 90651 |
|
89 |
84 |
$702.76 |
| 99381 |
|
18 |
12 |
$599.72 |
| 85014 |
|
366 |
344 |
$592.33 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$564.85 |
| 90686 |
|
1,780 |
1,727 |
$490.26 |
| 99177 |
|
44 |
43 |
$449.58 |
| 90633 |
|
435 |
412 |
$417.02 |
| 80061 |
Lipid panel |
31 |
31 |
$412.20 |
| 90674 |
|
172 |
163 |
$363.59 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
24 |
$127.20 |
| 90723 |
|
879 |
822 |
$122.97 |
| 90647 |
|
836 |
777 |
$107.25 |
| 90716 |
|
273 |
261 |
$0.00 |
| 1036F |
|
252 |
237 |
$0.00 |
| 90696 |
|
53 |
53 |
$0.00 |
| 3074F |
|
577 |
568 |
$0.00 |
| 99000 |
|
35 |
35 |
$0.00 |
| 3078F |
|
539 |
530 |
$0.00 |
| 90707 |
|
272 |
261 |
$0.00 |
| 90681 |
|
243 |
216 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |
| 90734 |
|
57 |
55 |
$0.00 |