| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,165 |
7,325 |
$477K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,706 |
3,637 |
$395K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,180 |
9,174 |
$388K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,968 |
2,910 |
$287K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,979 |
1,951 |
$181K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
770 |
766 |
$78K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,424 |
6,296 |
$55K |
| 99381 |
|
363 |
337 |
$27K |
| 99188 |
|
3,020 |
2,978 |
$17K |
| 97802 |
|
769 |
744 |
$15K |
| 96160 |
|
4,301 |
3,912 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
370 |
359 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,612 |
3,536 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,994 |
1,964 |
$5K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,664 |
2,580 |
$5K |
| 85018 |
|
5,223 |
5,108 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
976 |
494 |
$2K |
| H0049 |
Alcohol and/or drug screening |
248 |
245 |
$2K |
| 81003 |
|
4,081 |
3,985 |
$2K |
| 99382 |
|
12 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
60 |
59 |
$898.92 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
30 |
30 |
$268.33 |
| 87807 |
|
34 |
33 |
$207.82 |
| 90686 |
|
136 |
136 |
$60.00 |
| 90647 |
|
865 |
858 |
$27.00 |
| 90670 |
|
847 |
841 |
$18.00 |
| 90633 |
|
131 |
129 |
$10.00 |
| 90716 |
|
25 |
25 |
$10.00 |
| 96161 |
|
95 |
88 |
$4.98 |
| 99173 |
|
1,471 |
1,446 |
$0.00 |
| 90681 |
|
151 |
151 |
$0.00 |
| 90461 |
|
135 |
131 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90723 |
|
614 |
608 |
$0.00 |
| D1330 |
|
292 |
287 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |