| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,284 |
8,910 |
$536K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,180 |
6,149 |
$269K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,204 |
2,193 |
$184K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,824 |
1,771 |
$159K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,407 |
3,289 |
$132K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,587 |
1,583 |
$125K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,113 |
1,059 |
$85K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,441 |
3,127 |
$85K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,192 |
3,676 |
$76K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,343 |
3,217 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,304 |
1,303 |
$11K |
| 90461 |
|
1,032 |
868 |
$6K |
| 87807 |
|
180 |
170 |
$2K |
| 81002 |
|
149 |
140 |
$421.06 |
| 97802 |
|
136 |
136 |
$4.00 |
| 90697 |
|
222 |
222 |
$0.98 |
| 90686 |
|
910 |
909 |
$0.12 |
| 90651 |
|
383 |
383 |
$0.05 |
| 90620 |
|
241 |
238 |
$0.02 |
| 90633 |
|
164 |
164 |
$0.00 |
| 90670 |
|
871 |
869 |
$0.00 |
| 90734 |
|
404 |
402 |
$0.00 |
| 90685 |
|
55 |
55 |
$0.00 |
| 90710 |
|
197 |
197 |
$0.00 |
| 90715 |
|
29 |
29 |
$0.00 |
| 90681 |
|
92 |
92 |
$0.00 |
| 90647 |
|
237 |
237 |
$0.00 |
| 90723 |
|
106 |
106 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |