| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,522 |
3,222 |
$287K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,397 |
4,850 |
$278K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,016 |
1,965 |
$233K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,401 |
1,373 |
$158K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
707 |
698 |
$76K |
| 90670 |
|
857 |
826 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
161 |
158 |
$18K |
| 87428 |
|
362 |
338 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
240 |
235 |
$9K |
| 99381 |
|
92 |
80 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,570 |
2,850 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
520 |
492 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,283 |
677 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
921 |
873 |
$1K |
| 90461 |
|
1,470 |
1,242 |
$994.24 |
| 90686 |
|
369 |
356 |
$824.11 |
| 90647 |
|
441 |
416 |
$784.17 |
| 81002 |
|
2,444 |
2,308 |
$551.82 |
| 90633 |
|
171 |
170 |
$424.10 |
| 85018 |
|
3,379 |
3,283 |
$417.31 |
| 83655 |
|
402 |
398 |
$360.82 |
| 90723 |
|
231 |
225 |
$286.03 |
| 90716 |
|
22 |
17 |
$262.30 |
| 90648 |
|
131 |
131 |
$100.00 |
| 90700 |
|
30 |
27 |
$10.00 |
| 92551 |
|
1,090 |
979 |
$0.00 |
| 36416 |
|
2,065 |
1,882 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90707 |
|
28 |
25 |
$0.00 |
| 99177 |
|
1,107 |
998 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |