| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,442 |
10,775 |
$1.17M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,167 |
7,862 |
$622K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,701 |
5,299 |
$579K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,129 |
11,931 |
$542K |
| 90461 |
|
6,587 |
6,494 |
$485K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,114 |
4,052 |
$416K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16,821 |
16,047 |
$249K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,651 |
1,609 |
$165K |
| 99173 |
|
5,098 |
5,016 |
$153K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
641 |
624 |
$64K |
| 99215 |
Prolong outpt/office vis |
247 |
237 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
832 |
814 |
$42K |
| 92551 |
|
3,701 |
3,648 |
$42K |
| 96160 |
|
7,209 |
7,093 |
$30K |
| 96161 |
|
3,796 |
3,368 |
$17K |
| 99381 |
|
44 |
43 |
$8K |
| 92552 |
|
448 |
435 |
$7K |
| 96127 |
|
1,201 |
1,178 |
$7K |
| S9999 |
Sales tax |
760 |
654 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
179 |
179 |
$4K |
| 0072A |
|
102 |
102 |
$4K |
| 0071A |
|
98 |
97 |
$4K |
| 99383 |
|
21 |
21 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
13 |
13 |
$3K |
| 99384 |
|
13 |
13 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
36 |
36 |
$2K |
| 99401 |
|
67 |
63 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$920.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
51 |
$848.76 |
| 90670 |
|
2,658 |
2,621 |
$757.13 |
| 94760 |
|
650 |
545 |
$475.22 |
| 90680 |
|
1,701 |
1,689 |
$474.27 |
| 90647 |
|
587 |
571 |
$426.07 |
| 91307 |
|
224 |
216 |
$400.00 |
| 90651 |
|
279 |
266 |
$80.38 |
| 90685 |
|
212 |
207 |
$43.99 |
| 90633 |
|
897 |
884 |
$39.16 |
| 90734 |
|
147 |
134 |
$32.16 |
| 90723 |
|
235 |
231 |
$24.13 |
| 90686 |
|
2,566 |
2,538 |
$19.99 |
| 90715 |
|
49 |
40 |
$11.00 |
| 90697 |
|
1,072 |
1,066 |
$0.00 |
| 90677 |
|
343 |
340 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 90656 |
|
109 |
108 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 90672 |
|
297 |
291 |
$0.00 |
| 90710 |
|
41 |
41 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 90700 |
|
27 |
26 |
$0.00 |