| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,585 |
4,061 |
$376K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,094 |
3,768 |
$232K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,846 |
1,754 |
$136K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,417 |
1,308 |
$102K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,032 |
994 |
$84K |
| 92551 |
|
4,140 |
3,918 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
415 |
374 |
$28K |
| 99070 |
|
1,142 |
1,065 |
$27K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
212 |
204 |
$25K |
| 90686 |
|
1,273 |
1,204 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
462 |
425 |
$14K |
| 90651 |
|
355 |
345 |
$13K |
| 96127 |
|
2,821 |
2,668 |
$13K |
| 96160 |
|
5,000 |
4,470 |
$10K |
| 90670 |
|
454 |
428 |
$10K |
| 99173 |
|
4,192 |
3,951 |
$9K |
| 90734 |
|
265 |
255 |
$7K |
| 90634 |
|
270 |
238 |
$4K |
| 0071A |
|
107 |
99 |
$4K |
| 0072A |
|
84 |
83 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
235 |
215 |
$3K |
| 90698 |
|
178 |
165 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
260 |
134 |
$2K |
| 0001A |
|
44 |
44 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
730 |
638 |
$1K |
| 91320 |
|
16 |
15 |
$1K |
| 90715 |
|
64 |
63 |
$867.31 |
| 99174 |
|
170 |
155 |
$864.76 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
16 |
$722.40 |
| 90680 |
|
52 |
48 |
$692.63 |
| 90461 |
|
334 |
292 |
$592.60 |
| 99000 |
|
195 |
189 |
$574.08 |
| 90744 |
|
57 |
48 |
$522.47 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
88 |
50 |
$485.10 |
| 90685 |
|
49 |
42 |
$478.30 |
| 90710 |
|
21 |
15 |
$368.37 |
| 99051 |
|
202 |
185 |
$218.00 |
| 90696 |
|
20 |
15 |
$193.70 |
| 90677 |
|
13 |
12 |
$132.00 |
| 90658 |
|
12 |
12 |
$112.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
23 |
$21.45 |
| 99072 |
|
131 |
121 |
$10.00 |
| 91307 |
|
250 |
234 |
$1.57 |
| 91300 |
|
84 |
75 |
$0.64 |
| 90480 |
|
15 |
15 |
$0.00 |