| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,816 |
9,741 |
$823K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,450 |
1,378 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,295 |
1,242 |
$72K |
| 92587 |
|
1,007 |
966 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,044 |
980 |
$56K |
| 92015 |
Determination of refractive state |
1,674 |
1,608 |
$53K |
| 87428 |
|
610 |
537 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
633 |
588 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
931 |
839 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,756 |
2,593 |
$31K |
| 99215 |
Prolong outpt/office vis |
146 |
142 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
365 |
328 |
$15K |
| 85018 |
|
3,808 |
3,629 |
$11K |
| 83655 |
|
248 |
235 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
145 |
120 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
295 |
278 |
$3K |
| 99381 |
|
16 |
14 |
$829.22 |
| 90688 |
|
32 |
32 |
$510.21 |
| 81000 |
|
59 |
54 |
$230.52 |
| 99401 |
|
15 |
12 |
$11.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
42 |
$0.00 |