| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,654 |
4,259 |
$531K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,060 |
3,714 |
$329K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,479 |
1,459 |
$143K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,602 |
2,404 |
$131K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,316 |
1,278 |
$127K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
977 |
959 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,045 |
1,023 |
$92K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,106 |
1,959 |
$76K |
| 92551 |
|
2,631 |
2,569 |
$19K |
| 90700 |
|
1,134 |
1,092 |
$18K |
| 90686 |
|
788 |
783 |
$15K |
| 90713 |
|
846 |
816 |
$14K |
| 90633 |
|
887 |
856 |
$14K |
| 90648 |
|
744 |
721 |
$13K |
| 81002 |
|
2,877 |
2,719 |
$9K |
| 0072A |
|
213 |
213 |
$8K |
| 0071A |
|
195 |
195 |
$8K |
| 90716 |
|
385 |
376 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
742 |
331 |
$7K |
| 90707 |
|
383 |
370 |
$6K |
| 0001A |
|
149 |
149 |
$6K |
| 0002A |
|
147 |
147 |
$6K |
| 90670 |
|
294 |
293 |
$6K |
| 90651 |
|
324 |
306 |
$5K |
| 90744 |
|
257 |
255 |
$5K |
| 99401 |
|
267 |
241 |
$5K |
| 90734 |
|
200 |
192 |
$3K |
| 90680 |
|
158 |
154 |
$3K |
| 99383 |
|
26 |
26 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
250 |
233 |
$3K |
| 90677 |
|
165 |
145 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 0012A |
|
45 |
45 |
$2K |
| 90715 |
|
97 |
89 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 0004A |
|
35 |
33 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
53 |
50 |
$1K |
| 0011A |
|
31 |
31 |
$1K |
| 90461 |
|
311 |
139 |
$1K |
| 0074A |
|
24 |
24 |
$960.00 |
| 0154A |
|
16 |
16 |
$640.00 |
| 90656 |
|
96 |
95 |
$587.26 |
| 0081A |
|
12 |
12 |
$480.00 |
| 85013 |
|
63 |
61 |
$393.17 |
| 94760 |
|
77 |
73 |
$29.16 |
| 99072 |
|
1,396 |
1,204 |
$0.00 |