| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,410 |
2,966 |
$223K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,062 |
1,838 |
$92K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,349 |
2,959 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,263 |
1,170 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
915 |
863 |
$61K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,300 |
2,866 |
$41K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,706 |
1,536 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
280 |
271 |
$20K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
112 |
84 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
55 |
$6K |
| 87631 |
|
71 |
47 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
52 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
41 |
$3K |
| 99460 |
|
74 |
72 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
58 |
58 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
315 |
295 |
$3K |
| 99462 |
|
108 |
73 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
103 |
49 |
$1K |
| 85018 |
|
301 |
250 |
$596.72 |
| 87430 |
|
47 |
39 |
$512.07 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30 |
26 |
$480.00 |
| 90474 |
|
35 |
26 |
$237.38 |
| 87807 |
|
24 |
12 |
$117.90 |
| 90686 |
|
629 |
554 |
$61.59 |
| 90658 |
|
139 |
120 |
$16.40 |
| 90647 |
|
48 |
43 |
$15.00 |
| 90697 |
|
146 |
128 |
$0.00 |
| 90723 |
|
83 |
79 |
$0.00 |
| 90657 |
|
87 |
66 |
$0.00 |
| 90381 |
|
17 |
13 |
$0.00 |
| 90681 |
|
39 |
29 |
$0.00 |
| 90670 |
|
434 |
390 |
$0.00 |
| 90461 |
|
17 |
12 |
$0.00 |
| 90710 |
|
48 |
37 |
$0.00 |
| 90734 |
|
16 |
13 |
$0.00 |
| 90671 |
|
78 |
75 |
$0.00 |
| 90633 |
|
46 |
45 |
$0.00 |
| 90685 |
|
32 |
32 |
$0.00 |