| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,839 |
5,809 |
$609K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,018 |
3,632 |
$240K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,322 |
1,290 |
$138K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,082 |
974 |
$129K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,815 |
2,715 |
$114K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
581 |
541 |
$56K |
| 92587 |
|
2,356 |
2,272 |
$27K |
| 97802 |
|
887 |
839 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
790 |
712 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,219 |
1,132 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,047 |
2,894 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
440 |
431 |
$7K |
| 90698 |
|
471 |
460 |
$7K |
| 99174 |
|
1,997 |
1,858 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
39 |
$4K |
| 90686 |
|
539 |
535 |
$4K |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$2K |
| 99383 |
|
12 |
12 |
$2K |
| 99050 |
|
209 |
198 |
$2K |
| 85018 |
|
433 |
424 |
$1K |
| 94760 |
|
562 |
506 |
$1K |
| 99188 |
|
210 |
209 |
$1K |
| 90633 |
|
69 |
69 |
$941.76 |
| 90670 |
|
684 |
673 |
$764.31 |
| 83655 |
|
44 |
44 |
$697.25 |
| 90685 |
|
39 |
39 |
$515.56 |
| 96127 |
|
120 |
115 |
$499.68 |
| 36416 |
|
355 |
348 |
$359.62 |
| 90707 |
|
72 |
72 |
$298.58 |
| 90744 |
|
25 |
25 |
$159.89 |
| 90716 |
|
71 |
71 |
$142.47 |
| 90680 |
|
266 |
259 |
$80.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$12.36 |
| 87807 |
|
44 |
43 |
$9.50 |
| 99173 |
|
512 |
471 |
$0.00 |
| A4617 |
Mouth piece |
13 |
13 |
$0.00 |
| 90697 |
|
97 |
96 |
$0.00 |
| A4616 |
Tubing (oxygen), per foot |
13 |
13 |
$0.00 |