| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,715 |
3,204 |
$158K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,172 |
1,052 |
$88K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
979 |
848 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,212 |
1,978 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
986 |
880 |
$65K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,021 |
2,068 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
511 |
430 |
$30K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,085 |
970 |
$10K |
| 90461 |
|
1,064 |
782 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
224 |
213 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
340 |
290 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
457 |
253 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
479 |
439 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
213 |
190 |
$3K |
| 81002 |
|
950 |
815 |
$2K |
| 90686 |
|
828 |
754 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$580.45 |
| 92587 |
|
25 |
24 |
$421.10 |
| 90733 |
|
32 |
28 |
$288.70 |
| 87807 |
|
15 |
12 |
$128.70 |
| 81025 |
|
14 |
12 |
$67.95 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21 |
21 |
$66.75 |
| 93000 |
|
13 |
12 |
$52.76 |
| 92551 |
|
29 |
27 |
$28.90 |
| 36415 |
Collection of venous blood by venipuncture |
1,925 |
1,722 |
$23.62 |
| 90677 |
|
56 |
45 |
$0.16 |
| 90651 |
|
85 |
74 |
$0.03 |
| 90619 |
|
15 |
13 |
$0.01 |
| 90680 |
|
175 |
159 |
$0.00 |
| 90698 |
|
15 |
14 |
$0.00 |
| 90723 |
|
80 |
77 |
$0.00 |
| 90696 |
|
13 |
12 |
$0.00 |
| 90670 |
|
599 |
525 |
$0.00 |
| 90715 |
|
30 |
24 |
$0.00 |
| 90648 |
|
303 |
273 |
$0.00 |
| 90633 |
|
177 |
152 |
$0.00 |
| 90649 |
|
36 |
29 |
$0.00 |
| 99173 |
|
332 |
278 |
$0.00 |
| 90710 |
|
131 |
119 |
$0.00 |
| 90621 |
|
30 |
25 |
$0.00 |