| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,512 |
5,894 |
$333K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,118 |
7,341 |
$297K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,314 |
3,301 |
$262K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,951 |
2,726 |
$224K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,327 |
7,361 |
$202K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,911 |
1,907 |
$160K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
872 |
869 |
$80K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,285 |
1,254 |
$64K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,684 |
3,137 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,159 |
795 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,574 |
1,545 |
$22K |
| 90461 |
|
5,007 |
4,219 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
193 |
192 |
$12K |
| 99429 |
|
315 |
314 |
$10K |
| 99381 |
|
113 |
109 |
$9K |
| 99383 |
|
83 |
82 |
$7K |
| 99000 |
|
488 |
474 |
$5K |
| 99384 |
|
45 |
45 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$2K |
| 87807 |
|
150 |
147 |
$2K |
| 92587 |
|
140 |
138 |
$1K |
| 99460 |
|
14 |
14 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$726.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$662.58 |
| 92551 |
|
15 |
15 |
$90.90 |
| 90677 |
|
437 |
437 |
$2.22 |
| 90619 |
|
132 |
131 |
$0.63 |
| 90686 |
|
1,913 |
1,892 |
$0.06 |
| 90715 |
|
70 |
70 |
$0.02 |
| 90656 |
|
426 |
420 |
$0.02 |
| 90651 |
|
302 |
301 |
$0.01 |
| 90620 |
|
73 |
72 |
$0.01 |
| 90707 |
|
1,004 |
994 |
$0.00 |
| 90670 |
|
1,867 |
1,845 |
$0.00 |
| 90633 |
|
1,180 |
1,166 |
$0.00 |
| 90700 |
|
280 |
280 |
$0.00 |
| 90648 |
|
2,334 |
2,311 |
$0.00 |
| 99173 |
|
168 |
164 |
$0.00 |
| 90681 |
|
864 |
853 |
$0.00 |
| 90734 |
|
130 |
130 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90723 |
|
1,602 |
1,585 |
$0.00 |
| 90716 |
|
1,017 |
1,012 |
$0.00 |
| 96127 |
|
15 |
13 |
$0.00 |
| 90696 |
|
237 |
237 |
$0.00 |