| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,847 |
10,330 |
$1.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,887 |
5,345 |
$358K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,008 |
2,798 |
$267K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,188 |
1,988 |
$189K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,761 |
8,177 |
$158K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,374 |
1,270 |
$115K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,471 |
4,159 |
$95K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,891 |
5,497 |
$76K |
| 99215 |
Prolong outpt/office vis |
556 |
456 |
$69K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,485 |
1,286 |
$59K |
| 92551 |
|
5,000 |
4,528 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
525 |
444 |
$46K |
| 99173 |
|
4,917 |
4,498 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
613 |
597 |
$15K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,065 |
930 |
$10K |
| 90670 |
|
1,261 |
1,161 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
307 |
298 |
$5K |
| 90686 |
|
4,075 |
3,839 |
$4K |
| 87807 |
|
293 |
285 |
$4K |
| 90723 |
|
691 |
628 |
$2K |
| 90710 |
|
229 |
188 |
$1K |
| 90677 |
|
184 |
179 |
$941.31 |
| 99000 |
|
313 |
310 |
$826.29 |
| 90734 |
|
38 |
36 |
$750.00 |
| 90648 |
|
1,437 |
1,325 |
$748.00 |
| 90480 |
|
15 |
15 |
$394.00 |
| 90633 |
|
457 |
439 |
$364.82 |
| 90681 |
|
54 |
53 |
$320.00 |
| 90651 |
|
83 |
68 |
$245.74 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$202.07 |
| 90474 |
|
16 |
16 |
$175.84 |
| 81002 |
|
49 |
28 |
$92.40 |
| 90696 |
|
48 |
27 |
$66.18 |
| 90700 |
|
13 |
12 |
$35.55 |