| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,612 |
5,625 |
$562K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,362 |
8,170 |
$553K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,863 |
2,740 |
$232K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,567 |
2,505 |
$217K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,811 |
1,560 |
$148K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,607 |
1,519 |
$127K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,503 |
6,191 |
$77K |
| 99401 |
|
2,505 |
2,311 |
$75K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,407 |
3,249 |
$71K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
765 |
340 |
$12K |
| 97802 |
|
640 |
602 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,400 |
1,098 |
$8K |
| 83655 |
|
321 |
307 |
$4K |
| 90474 |
|
342 |
330 |
$3K |
| 36416 |
|
968 |
929 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
77 |
75 |
$3K |
| 96127 |
|
1,029 |
863 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
79 |
50 |
$2K |
| 0071A |
|
65 |
61 |
$2K |
| 0072A |
|
53 |
53 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
54 |
$905.75 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
119 |
118 |
$703.56 |
| 99173 |
|
5,697 |
5,460 |
$627.46 |
| 90473 |
|
25 |
25 |
$277.25 |
| 90744 |
|
182 |
176 |
$86.60 |
| 90651 |
|
356 |
335 |
$67.20 |
| 90670 |
|
1,005 |
975 |
$51.74 |
| 90686 |
|
3,140 |
3,043 |
$40.55 |
| 85018 |
|
12 |
12 |
$36.81 |
| 90656 |
|
45 |
39 |
$3.68 |
| 90688 |
|
12 |
12 |
$1.40 |
| 90716 |
|
372 |
362 |
$0.00 |
| 90698 |
|
539 |
520 |
$0.00 |
| 90680 |
|
399 |
385 |
$0.00 |
| 90619 |
|
119 |
101 |
$0.00 |
| 91307 |
|
133 |
115 |
$0.00 |
| 90677 |
|
26 |
26 |
$0.00 |
| 94760 |
|
14 |
14 |
$0.00 |
| 90633 |
|
232 |
231 |
$0.00 |
| 90707 |
|
372 |
362 |
$0.00 |
| 90621 |
|
60 |
54 |
$0.00 |
| 90734 |
|
91 |
89 |
$0.00 |
| 90700 |
|
267 |
264 |
$0.00 |
| 90648 |
|
25 |
24 |
$0.00 |
| 90713 |
|
42 |
42 |
$0.00 |
| 90685 |
|
46 |
46 |
$0.00 |
| 90715 |
|
25 |
24 |
$0.00 |