| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,499 |
14,130 |
$1.22M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,928 |
11,814 |
$689K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,550 |
4,485 |
$363K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,954 |
3,853 |
$340K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,463 |
10,183 |
$336K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,202 |
3,160 |
$255K |
| 99215 |
Prolong outpt/office vis |
2,049 |
1,981 |
$232K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,725 |
2,661 |
$207K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,070 |
3,013 |
$74K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,712 |
1,669 |
$53K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,399 |
1,362 |
$20K |
| 96160 |
|
6,473 |
6,016 |
$14K |
| 92551 |
|
3,877 |
3,669 |
$12K |
| 99381 |
|
149 |
143 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
119 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$4K |
| 81002 |
|
1,092 |
1,044 |
$3K |
| 99499 |
|
58 |
51 |
$2K |
| 99173 |
|
4,063 |
3,844 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$1K |
| 81025 |
|
39 |
39 |
$278.23 |
| 96127 |
|
12 |
12 |
$57.37 |
| 90674 |
|
383 |
367 |
$30.84 |
| 90620 |
|
705 |
639 |
$0.00 |
| 90698 |
|
1,086 |
1,017 |
$0.00 |
| 90686 |
|
3,591 |
3,275 |
$0.00 |
| 90651 |
|
1,012 |
934 |
$0.00 |
| 90744 |
|
375 |
353 |
$0.00 |
| 90680 |
|
293 |
262 |
$0.00 |
| 90647 |
|
54 |
54 |
$0.00 |
| 90696 |
|
44 |
41 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
45 |
28 |
$0.00 |
| 90619 |
|
142 |
126 |
$0.00 |
| 90688 |
|
324 |
284 |
$0.00 |
| 90716 |
|
34 |
30 |
$0.00 |
| 90697 |
|
21 |
12 |
$0.00 |
| 90734 |
|
818 |
747 |
$0.00 |
| 90670 |
|
1,577 |
1,475 |
$0.00 |
| 90715 |
|
132 |
121 |
$0.00 |
| 90681 |
|
105 |
102 |
$0.00 |
| 90633 |
|
716 |
667 |
$0.00 |
| 90700 |
|
95 |
95 |
$0.00 |
| 90710 |
|
310 |
297 |
$0.00 |
| 90685 |
|
106 |
106 |
$0.00 |
| 90687 |
|
39 |
37 |
$0.00 |
| 90707 |
|
34 |
31 |
$0.00 |