| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,820 |
5,322 |
$444K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,994 |
1,698 |
$153K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,702 |
1,452 |
$117K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,468 |
1,371 |
$110K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,324 |
1,184 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,165 |
1,965 |
$102K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,928 |
1,693 |
$39K |
| 96127 |
|
1,789 |
1,590 |
$38K |
| 90651 |
|
759 |
681 |
$34K |
| 90677 |
|
426 |
381 |
$27K |
| 90686 |
|
2,020 |
1,849 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
461 |
436 |
$16K |
| 90670 |
|
936 |
761 |
$16K |
| 90723 |
|
962 |
775 |
$14K |
| 90647 |
|
977 |
787 |
$14K |
| 90680 |
|
765 |
610 |
$11K |
| 90633 |
|
802 |
669 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
308 |
273 |
$8K |
| 83655 |
|
628 |
534 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
433 |
423 |
$7K |
| 90656 |
|
393 |
375 |
$7K |
| 90734 |
|
404 |
351 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
408 |
381 |
$5K |
| 96160 |
|
289 |
253 |
$4K |
| 87428 |
|
45 |
44 |
$3K |
| 90620 |
|
211 |
195 |
$3K |
| 85018 |
|
1,168 |
1,048 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
107 |
102 |
$3K |
| 99383 |
|
25 |
24 |
$2K |
| 90715 |
|
113 |
109 |
$2K |
| 90710 |
|
94 |
92 |
$2K |
| 90700 |
|
98 |
66 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 90716 |
|
52 |
50 |
$835.50 |
| 87807 |
|
68 |
55 |
$684.08 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13 |
13 |
$518.18 |
| 81003 |
|
227 |
208 |
$494.86 |
| 90698 |
|
62 |
58 |
$473.74 |
| 90688 |
|
33 |
19 |
$457.06 |
| 90707 |
|
26 |
26 |
$434.46 |
| 90381 |
|
24 |
23 |
$384.33 |
| 91321 |
|
16 |
16 |
$267.36 |
| 90380 |
|
17 |
15 |
$183.81 |
| 90681 |
|
18 |
14 |
$114.52 |
| 86580 |
|
13 |
13 |
$52.00 |
| 81002 |
|
14 |
13 |
$36.40 |