| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,175 |
8,197 |
$442K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,421 |
1,387 |
$105K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,301 |
1,265 |
$100K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,997 |
4,752 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,784 |
2,624 |
$95K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
798 |
771 |
$67K |
| 87428 |
|
571 |
546 |
$38K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,859 |
3,153 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
389 |
374 |
$28K |
| 99000 |
|
2,308 |
2,086 |
$22K |
| 99215 |
Prolong outpt/office vis |
219 |
213 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
347 |
331 |
$14K |
| 90461 |
|
1,261 |
1,051 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
472 |
451 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
429 |
211 |
$6K |
| 0002A |
|
117 |
117 |
$5K |
| 0001A |
|
121 |
119 |
$4K |
| S8301 |
Infection control supplies, not otherwise specified |
265 |
246 |
$3K |
| 0072A |
|
62 |
60 |
$2K |
| 0071A |
|
47 |
47 |
$2K |
| 96160 |
|
657 |
630 |
$1K |
| 87807 |
|
102 |
99 |
$1K |
| 97802 |
|
506 |
487 |
$396.62 |
| 90670 |
|
182 |
173 |
$202.19 |
| 90686 |
|
1,637 |
1,590 |
$35.86 |
| 91300 |
|
356 |
320 |
$0.00 |
| 99072 |
|
2,555 |
2,328 |
$0.00 |
| 90648 |
|
212 |
203 |
$0.00 |
| 90633 |
|
26 |
26 |
$0.00 |
| 97803 |
|
226 |
213 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 91307 |
|
149 |
133 |
$0.00 |
| 90723 |
|
68 |
62 |
$0.00 |
| 90651 |
|
105 |
104 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90656 |
|
143 |
143 |
$0.00 |