| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,005 |
3,674 |
$417K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,124 |
3,790 |
$293K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,085 |
1,085 |
$101K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,010 |
949 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
519 |
518 |
$48K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
972 |
971 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,472 |
1,465 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
195 |
194 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
488 |
487 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
222 |
214 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
471 |
464 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
393 |
384 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
65 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
66 |
64 |
$568.20 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
28 |
$351.67 |
| 83655 |
|
29 |
29 |
$338.34 |
| 87807 |
|
12 |
12 |
$146.04 |
| 85018 |
|
58 |
58 |
$128.68 |
| 36416 |
|
22 |
22 |
$44.46 |
| 90672 |
|
24 |
24 |
$1.00 |
| 90686 |
|
211 |
210 |
$1.00 |
| 90670 |
|
586 |
586 |
$0.00 |
| 96160 |
|
237 |
237 |
$0.00 |
| 90681 |
|
39 |
39 |
$0.00 |
| 90633 |
|
114 |
114 |
$0.00 |
| 90710 |
|
16 |
16 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90647 |
|
337 |
337 |
$0.00 |
| 90723 |
|
347 |
347 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |