| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,330 |
12,209 |
$683K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,905 |
1,850 |
$168K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,658 |
1,634 |
$146K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,142 |
1,094 |
$89K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
738 |
727 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
859 |
843 |
$73K |
| 92552 |
|
3,317 |
3,264 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,525 |
2,394 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
789 |
773 |
$26K |
| 99188 |
|
1,378 |
1,334 |
$8K |
| 81003 |
|
3,511 |
3,443 |
$4K |
| 99442 |
|
183 |
170 |
$3K |
| 99381 |
|
17 |
12 |
$825.77 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
34 |
34 |
$642.82 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
717 |
467 |
$442.46 |
| 90461 |
|
1,368 |
1,325 |
$437.94 |
| 90648 |
|
562 |
544 |
$231.91 |
| 90744 |
|
213 |
203 |
$160.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
38 |
$128.96 |
| 90633 |
|
272 |
262 |
$90.00 |
| 90700 |
|
901 |
871 |
$80.05 |
| 99252 |
|
14 |
14 |
$23.52 |
| 90670 |
|
521 |
506 |
$10.00 |
| 90713 |
|
684 |
666 |
$0.03 |
| 90707 |
|
201 |
196 |
$0.02 |
| 90649 |
|
144 |
144 |
$0.01 |
| 90716 |
|
222 |
216 |
$0.01 |
| 99173 |
|
3,260 |
3,210 |
$0.00 |
| 80176 |
|
14 |
13 |
$0.00 |
| 90734 |
|
133 |
133 |
$0.00 |
| 90715 |
|
65 |
64 |
$0.00 |
| 90658 |
|
41 |
39 |
$0.00 |
| 83655 |
|
25 |
25 |
$0.00 |
| 90680 |
|
273 |
261 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
88 |
86 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
13 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$0.00 |
| 85018 |
|
30 |
30 |
$0.00 |