| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,128 |
4,807 |
$561K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,134 |
4,634 |
$403K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,527 |
1,527 |
$141K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,520 |
1,520 |
$137K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,124 |
1,035 |
$97K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
688 |
688 |
$68K |
| 92587 |
|
2,816 |
2,813 |
$55K |
| 99215 |
Prolong outpt/office vis |
348 |
341 |
$54K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,565 |
1,563 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,072 |
2,067 |
$38K |
| 80061 |
Lipid panel |
1,440 |
1,440 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
412 |
405 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,451 |
1,451 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
867 |
834 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
238 |
237 |
$12K |
| 99188 |
|
1,046 |
1,046 |
$11K |
| 96127 |
|
2,486 |
2,478 |
$10K |
| 99173 |
|
2,996 |
2,996 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
82 |
82 |
$7K |
| 87430 |
|
462 |
450 |
$7K |
| 87428 |
|
103 |
97 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
69 |
69 |
$3K |
| 83655 |
|
203 |
203 |
$2K |
| 87400 |
|
135 |
134 |
$2K |
| 99381 |
|
13 |
13 |
$1K |
| 96161 |
|
143 |
142 |
$710.00 |
| 85018 |
|
333 |
333 |
$696.30 |
| 99051 |
|
73 |
71 |
$492.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
25 |
$491.50 |
| 74018 |
|
16 |
15 |
$421.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$176.54 |
| 36416 |
|
48 |
48 |
$125.49 |
| 90686 |
|
37 |
37 |
$0.00 |
| 90680 |
|
313 |
313 |
$0.00 |
| 90651 |
|
130 |
130 |
$0.00 |
| 90723 |
|
293 |
293 |
$0.00 |
| 90697 |
|
170 |
170 |
$0.00 |
| 90716 |
|
29 |
29 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90671 |
|
206 |
206 |
$0.00 |
| 90633 |
|
299 |
299 |
$0.00 |
| 90670 |
|
556 |
556 |
$0.00 |
| 90734 |
|
120 |
120 |
$0.00 |
| 90707 |
|
43 |
43 |
$0.00 |
| 90715 |
|
31 |
31 |
$0.00 |
| 90710 |
|
61 |
61 |
$0.00 |
| 90700 |
|
41 |
41 |
$0.00 |
| 90648 |
|
454 |
454 |
$0.00 |