| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,103 |
2,568 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,414 |
1,301 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
482 |
465 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
447 |
401 |
$31K |
| 86769 |
|
778 |
691 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
276 |
272 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
213 |
204 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,666 |
1,609 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,758 |
938 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
768 |
707 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
204 |
179 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
446 |
419 |
$6K |
| 87428 |
|
223 |
202 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
501 |
426 |
$4K |
| 86328 |
|
104 |
74 |
$2K |
| 0072A |
|
52 |
50 |
$2K |
| 0071A |
|
50 |
49 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
203 |
169 |
$2K |
| 81002 |
|
1,156 |
1,089 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
62 |
46 |
$1K |
| 90473 |
|
51 |
51 |
$626.83 |
| 0003A |
|
15 |
15 |
$568.73 |
| 85018 |
|
393 |
383 |
$95.48 |
| 92558 |
|
13 |
13 |
$90.75 |
| 90686 |
|
785 |
750 |
$57.14 |
| 91307 |
|
175 |
125 |
$0.00 |
| 90680 |
|
82 |
80 |
$0.00 |
| 36416 |
|
399 |
387 |
$0.00 |
| 90688 |
|
110 |
101 |
$0.00 |
| 90677 |
|
15 |
15 |
$0.00 |
| 94760 |
|
35 |
31 |
$0.00 |
| 90697 |
|
87 |
83 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| 90670 |
|
215 |
207 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |
| 91300 |
|
45 |
41 |
$0.00 |