| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,503 |
8,149 |
$918K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,763 |
11,175 |
$878K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,895 |
2,895 |
$259K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,329 |
2,292 |
$193K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,775 |
9,756 |
$182K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,342 |
1,342 |
$121K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,044 |
1,032 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
336 |
336 |
$32K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
349 |
348 |
$21K |
| 92552 |
|
1,107 |
1,105 |
$21K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
650 |
644 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
541 |
536 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
164 |
164 |
$1K |
| 96127 |
|
205 |
204 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
29 |
$841.74 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
359 |
299 |
$672.15 |
| 0002A |
|
14 |
14 |
$510.76 |
| 83655 |
|
38 |
38 |
$484.86 |
| 90461 |
|
1,014 |
1,009 |
$143.97 |
| 90480 |
|
12 |
12 |
$80.10 |
| 87081 |
|
14 |
13 |
$73.68 |
| 90686 |
|
2,882 |
2,881 |
$46.18 |
| 99173 |
|
490 |
489 |
$24.07 |
| 96160 |
|
42 |
42 |
$2.40 |
| 90723 |
|
228 |
228 |
$0.00 |
| 90677 |
|
46 |
46 |
$0.00 |
| 90680 |
|
170 |
170 |
$0.00 |
| 90656 |
|
226 |
226 |
$0.00 |
| 90670 |
|
613 |
613 |
$0.00 |
| 99177 |
|
93 |
93 |
$0.00 |
| 90685 |
|
47 |
47 |
$0.00 |
| 90648 |
|
496 |
496 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| 90633 |
|
26 |
26 |
$0.00 |
| 91300 |
|
19 |
14 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |