| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,560 |
3,103 |
$276K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,194 |
3,606 |
$225K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,390 |
1,298 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,519 |
1,255 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
735 |
679 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
418 |
395 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,038 |
2,741 |
$23K |
| 90670 |
|
932 |
803 |
$18K |
| 90651 |
|
301 |
266 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,265 |
3,509 |
$11K |
| 90686 |
|
967 |
869 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
321 |
262 |
$9K |
| 90710 |
|
228 |
214 |
$8K |
| 90677 |
|
111 |
102 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
626 |
536 |
$7K |
| 90734 |
|
239 |
204 |
$7K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
138 |
134 |
$7K |
| 90671 |
|
88 |
81 |
$6K |
| 92551 |
|
583 |
545 |
$5K |
| 90723 |
|
426 |
357 |
$5K |
| 99173 |
|
2,144 |
2,005 |
$5K |
| 90672 |
|
392 |
337 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
345 |
161 |
$4K |
| 90633 |
|
307 |
282 |
$4K |
| 90697 |
|
89 |
80 |
$4K |
| 90680 |
|
254 |
216 |
$4K |
| 90461 |
|
2,067 |
1,755 |
$3K |
| 99000 |
|
1,832 |
1,657 |
$3K |
| 90647 |
|
308 |
262 |
$3K |
| 90688 |
|
201 |
178 |
$2K |
| 87430 |
|
262 |
254 |
$2K |
| 90715 |
|
117 |
101 |
$2K |
| 85018 |
|
578 |
530 |
$1K |
| 90696 |
|
84 |
81 |
$1K |
| 90685 |
|
145 |
116 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$922.98 |
| 99381 |
|
21 |
12 |
$734.84 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$440.56 |
| 90473 |
|
664 |
576 |
$396.30 |
| 90687 |
|
12 |
12 |
$120.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
107 |
86 |
$71.80 |
| 36416 |
|
311 |
277 |
$40.74 |
| 81000 |
|
19 |
14 |
$32.78 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
14 |
$0.00 |