| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,441 |
6,040 |
$577K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,191 |
6,042 |
$390K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,054 |
1,553 |
$153K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,948 |
1,685 |
$145K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,777 |
1,540 |
$145K |
| 99058 |
|
5,820 |
4,587 |
$77K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
994 |
730 |
$68K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,333 |
2,752 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,464 |
1,203 |
$37K |
| 90686 |
|
1,617 |
1,401 |
$17K |
| 90670 |
|
634 |
468 |
$12K |
| 90651 |
|
339 |
253 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
555 |
408 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
224 |
205 |
$8K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
264 |
259 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
233 |
204 |
$5K |
| 90734 |
|
340 |
274 |
$5K |
| 99051 |
|
1,590 |
866 |
$4K |
| 90619 |
|
212 |
158 |
$3K |
| 0071A |
|
56 |
51 |
$2K |
| 90700 |
|
249 |
186 |
$2K |
| 90715 |
|
186 |
150 |
$2K |
| 90633 |
|
273 |
214 |
$2K |
| 99402 |
|
77 |
60 |
$2K |
| 90710 |
|
113 |
79 |
$1K |
| 94760 |
|
280 |
245 |
$1K |
| 90685 |
|
162 |
125 |
$1K |
| 90698 |
|
164 |
126 |
$1K |
| 90680 |
|
83 |
52 |
$524.80 |
| 0072A |
|
12 |
12 |
$505.68 |
| 90744 |
|
62 |
51 |
$384.00 |
| 87420 |
|
15 |
13 |
$235.50 |
| 90648 |
|
14 |
14 |
$89.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
392 |
257 |
$57.50 |
| 90461 |
|
237 |
126 |
$28.57 |
| 1003F |
|
5,219 |
4,037 |
$5.25 |
| 1111F |
|
7,932 |
5,829 |
$0.50 |
| 3078F |
|
5,869 |
4,549 |
$0.00 |
| 4035F |
|
5,620 |
4,294 |
$0.00 |
| 1159F |
|
1,149 |
1,022 |
$0.00 |
| 1160F |
|
1,133 |
1,011 |
$0.00 |
| 4124F |
|
186 |
166 |
$0.00 |
| 3210F |
|
18 |
13 |
$0.00 |
| 3008F |
|
5,263 |
4,082 |
$0.00 |
| 3074F |
|
5,876 |
4,554 |
$0.00 |
| 1220F |
|
1,971 |
1,651 |
$0.00 |
| 1036F |
|
332 |
267 |
$0.00 |
| 1031F |
|
211 |
174 |
$0.00 |
| 4037F |
|
307 |
265 |
$0.00 |