| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,452 |
3,961 |
$282K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,913 |
2,609 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,021 |
931 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
659 |
618 |
$37K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,185 |
1,108 |
$20K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
247 |
242 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,556 |
1,405 |
$19K |
| 99188 |
|
451 |
403 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
109 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
195 |
142 |
$6K |
| 87428 |
|
151 |
140 |
$5K |
| 87634 |
|
62 |
59 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
620 |
554 |
$3K |
| 97803 |
|
3,270 |
2,826 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
68 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
63 |
57 |
$2K |
| 92551 |
|
182 |
170 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
23 |
15 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
18 |
$820.96 |
| 90473 |
|
68 |
67 |
$667.52 |
| 92558 |
|
40 |
24 |
$403.75 |
| 83655 |
|
38 |
27 |
$313.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
17 |
$183.82 |
| 85018 |
|
44 |
37 |
$84.96 |
| 99173 |
|
56 |
46 |
$76.00 |
| 36416 |
|
44 |
37 |
$2.53 |
| 90686 |
|
368 |
319 |
$0.19 |
| 90651 |
|
14 |
13 |
$0.00 |
| 90723 |
|
71 |
67 |
$0.00 |
| 99174 |
|
231 |
182 |
$0.00 |
| 90680 |
|
68 |
67 |
$0.00 |
| 90674 |
|
69 |
60 |
$0.00 |
| 90648 |
|
353 |
331 |
$0.00 |
| 90670 |
|
309 |
291 |
$0.00 |
| 90633 |
|
36 |
29 |
$0.00 |
| 90671 |
|
20 |
19 |
$0.00 |
| 90685 |
|
16 |
16 |
$0.00 |