| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,430 |
11,699 |
$615K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,801 |
5,435 |
$432K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,053 |
5,748 |
$428K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31,084 |
12,313 |
$323K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,422 |
6,124 |
$225K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,347 |
2,299 |
$194K |
| 99429 |
|
2,936 |
2,738 |
$90K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
982 |
904 |
$83K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,555 |
7,600 |
$76K |
| 99381 |
|
1,059 |
990 |
$56K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,151 |
1,122 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,641 |
3,504 |
$47K |
| 90461 |
|
8,896 |
7,467 |
$32K |
| 99383 |
|
150 |
150 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,024 |
507 |
$13K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
948 |
784 |
$6K |
| 99382 |
|
47 |
43 |
$4K |
| 96160 |
|
1,067 |
968 |
$2K |
| 90671 |
|
1,321 |
1,206 |
$1K |
| 87807 |
|
108 |
107 |
$1K |
| 90677 |
|
827 |
812 |
$33.78 |
| 96161 |
|
894 |
727 |
$9.00 |
| 90686 |
|
3,106 |
2,921 |
$0.48 |
| 90656 |
|
618 |
611 |
$0.13 |
| 90651 |
|
133 |
129 |
$0.03 |
| 90670 |
|
3,171 |
2,976 |
$0.02 |
| 90710 |
|
1,538 |
1,397 |
$0.01 |
| 90648 |
|
3,813 |
3,646 |
$0.01 |
| 90633 |
|
2,284 |
2,088 |
$0.01 |
| 90723 |
|
3,362 |
3,208 |
$0.01 |
| 90620 |
|
27 |
24 |
$0.01 |
| 90681 |
|
51 |
51 |
$0.00 |
| 90734 |
|
70 |
66 |
$0.00 |
| 90658 |
|
113 |
112 |
$0.00 |
| 90700 |
|
46 |
42 |
$0.00 |
| 90680 |
|
3,112 |
3,002 |
$0.00 |
| 90698 |
|
589 |
576 |
$0.00 |
| 90657 |
|
102 |
97 |
$0.00 |
| 90696 |
|
38 |
38 |
$0.00 |