| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,230 |
5,023 |
$514K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,030 |
2,719 |
$180K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,996 |
1,757 |
$155K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,703 |
2,577 |
$133K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,329 |
1,283 |
$115K |
| 90461 |
|
1,858 |
1,606 |
$80K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,109 |
2,801 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
764 |
760 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
439 |
397 |
$43K |
| 99383 |
|
324 |
295 |
$28K |
| 99381 |
|
316 |
289 |
$26K |
| 99382 |
|
150 |
118 |
$11K |
| 99215 |
Prolong outpt/office vis |
67 |
57 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
440 |
423 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
63 |
$6K |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
98 |
86 |
$5K |
| 99205 |
Prolong outpt/office vis |
43 |
38 |
$5K |
| 87428 |
|
49 |
47 |
$3K |
| 96127 |
|
486 |
476 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
140 |
137 |
$2K |
| 90677 |
|
94 |
90 |
$1K |
| 96160 |
|
1,163 |
770 |
$972.53 |
| 87807 |
|
79 |
77 |
$949.09 |
| 90698 |
|
1,122 |
961 |
$895.94 |
| 83655 |
|
56 |
55 |
$661.76 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
14 |
$660.98 |
| 90671 |
|
191 |
163 |
$527.63 |
| 85018 |
|
193 |
192 |
$440.82 |
| 90670 |
|
753 |
665 |
$424.20 |
| 90744 |
|
593 |
505 |
$331.59 |
| 90633 |
|
314 |
267 |
$270.27 |
| 90681 |
|
250 |
231 |
$216.32 |
| 99188 |
|
16 |
16 |
$183.15 |
| 90686 |
|
210 |
167 |
$148.06 |
| 90680 |
|
351 |
289 |
$140.22 |
| 99173 |
|
634 |
562 |
$121.61 |
| 99000 |
|
56 |
39 |
$56.50 |
| 90710 |
|
73 |
69 |
$46.29 |
| 90707 |
|
193 |
144 |
$45.97 |
| 90716 |
|
191 |
137 |
$45.97 |