| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,276 |
4,811 |
$503K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,708 |
6,283 |
$437K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,425 |
2,413 |
$248K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,269 |
2,241 |
$217K |
| 87428 |
|
2,381 |
2,271 |
$178K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,599 |
1,587 |
$177K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,478 |
1,381 |
$137K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,570 |
5,514 |
$69K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,498 |
3,016 |
$46K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
495 |
484 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,542 |
1,815 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,320 |
742 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,022 |
989 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
400 |
379 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
407 |
202 |
$7K |
| 99000 |
|
513 |
499 |
$6K |
| 90480 |
|
112 |
106 |
$3K |
| 0081A |
|
62 |
56 |
$3K |
| 90474 |
|
234 |
230 |
$2K |
| 0154A |
|
31 |
31 |
$1K |
| 0074A |
|
30 |
30 |
$1K |
| 0054A |
|
29 |
29 |
$1K |
| 0174A |
|
28 |
28 |
$1K |
| 99051 |
|
94 |
92 |
$934.92 |
| 0071A |
|
16 |
15 |
$720.00 |
| 0124A |
|
16 |
14 |
$672.00 |
| 90621 |
|
232 |
231 |
$626.87 |
| 90677 |
|
190 |
186 |
$304.72 |
| 90651 |
|
641 |
635 |
$293.61 |
| 90686 |
|
3,116 |
3,075 |
$281.02 |
| 90461 |
|
80 |
76 |
$242.92 |
| 90619 |
|
199 |
199 |
$0.06 |
| 91312 |
|
34 |
32 |
$0.00 |
| 90670 |
|
988 |
966 |
$0.00 |
| 90710 |
|
308 |
300 |
$0.00 |
| 90734 |
|
100 |
100 |
$0.00 |
| 91308 |
|
157 |
146 |
$0.00 |
| 90633 |
|
385 |
377 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90715 |
|
37 |
37 |
$0.00 |
| 91320 |
|
12 |
12 |
$0.00 |
| 91317 |
|
50 |
50 |
$0.00 |
| 90680 |
|
369 |
360 |
$0.00 |
| 91305 |
|
84 |
84 |
$0.00 |
| 90697 |
|
367 |
358 |
$0.00 |
| 90698 |
|
44 |
44 |
$0.00 |
| 91307 |
|
153 |
151 |
$0.00 |
| 91315 |
|
46 |
46 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 91319 |
|
13 |
12 |
$0.00 |
| 90696 |
|
40 |
40 |
$0.00 |
| 96127 |
|
45 |
45 |
$0.00 |