| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,585 |
3,961 |
$356K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,652 |
4,773 |
$271K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,822 |
1,392 |
$138K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
908 |
872 |
$129K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,563 |
1,299 |
$117K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,304 |
1,104 |
$107K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,366 |
1,066 |
$93K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,291 |
1,064 |
$36K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,524 |
1,351 |
$36K |
| 96127 |
|
1,834 |
1,596 |
$27K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
582 |
544 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
715 |
583 |
$25K |
| 90686 |
|
1,238 |
1,048 |
$13K |
| 90651 |
|
484 |
384 |
$12K |
| 90670 |
|
765 |
567 |
$11K |
| 83655 |
|
865 |
692 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
350 |
245 |
$9K |
| 96160 |
|
642 |
562 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
565 |
508 |
$9K |
| 90619 |
|
387 |
305 |
$9K |
| 90716 |
|
354 |
253 |
$7K |
| 90677 |
|
106 |
97 |
$6K |
| 0071A |
|
133 |
84 |
$5K |
| 90707 |
|
356 |
252 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
420 |
374 |
$5K |
| 36416 |
|
1,212 |
994 |
$5K |
| 0072A |
|
115 |
91 |
$5K |
| 90698 |
|
360 |
287 |
$4K |
| 90715 |
|
218 |
175 |
$3K |
| 90656 |
|
157 |
154 |
$3K |
| 85018 |
|
1,098 |
881 |
$3K |
| 90734 |
|
139 |
115 |
$2K |
| 90633 |
|
156 |
109 |
$2K |
| 90680 |
|
95 |
81 |
$1K |
| 99381 |
|
15 |
14 |
$1K |
| 90744 |
|
92 |
83 |
$903.43 |
| 90696 |
|
55 |
41 |
$789.74 |
| 94760 |
|
237 |
202 |
$760.40 |
| 90685 |
|
97 |
82 |
$642.61 |
| 0002A |
|
13 |
13 |
$547.82 |
| 99402 |
|
16 |
16 |
$480.00 |
| 90700 |
|
16 |
12 |
$267.36 |
| 99072 |
|
567 |
464 |
$134.50 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,607 |
1,265 |
$10.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
248 |
198 |
$0.00 |
| 1036F |
|
106 |
95 |
$0.00 |
| 90461 |
|
587 |
441 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
63 |
47 |
$0.00 |
| 1003F |
|
1,212 |
869 |
$0.00 |