| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,440 |
3,832 |
$352K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,683 |
2,354 |
$150K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
950 |
911 |
$71K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,065 |
890 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
383 |
378 |
$28K |
| 90677 |
|
168 |
157 |
$21K |
| 90698 |
|
458 |
422 |
$11K |
| 90670 |
|
309 |
297 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,288 |
1,194 |
$11K |
| 92551 |
|
1,067 |
1,037 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
322 |
302 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,600 |
3,357 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
604 |
563 |
$8K |
| 87428 |
|
210 |
193 |
$7K |
| 90686 |
|
573 |
534 |
$6K |
| 90680 |
|
266 |
245 |
$5K |
| 96127 |
|
915 |
870 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
317 |
144 |
$4K |
| 90461 |
|
1,371 |
1,287 |
$4K |
| 99188 |
|
153 |
147 |
$3K |
| 99177 |
|
601 |
570 |
$2K |
| 90633 |
|
108 |
103 |
$2K |
| 87807 |
|
144 |
130 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
20 |
$2K |
| 99173 |
|
665 |
648 |
$2K |
| 90744 |
|
90 |
82 |
$1K |
| 90656 |
|
71 |
69 |
$1K |
| 90672 |
|
62 |
62 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$665.89 |
| 90710 |
|
12 |
12 |
$369.93 |
| 85018 |
|
30 |
24 |
$57.60 |
| 99000 |
|
14 |
12 |
$40.48 |
| 36416 |
|
45 |
38 |
$0.00 |
| 91307 |
|
30 |
25 |
$0.00 |