| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,846 |
7,281 |
$383K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,005 |
5,626 |
$205K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,374 |
1,353 |
$121K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,333 |
1,298 |
$105K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,995 |
1,913 |
$91K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,456 |
3,986 |
$85K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
936 |
918 |
$71K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,502 |
4,319 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
589 |
546 |
$42K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,055 |
1,352 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
523 |
501 |
$27K |
| 90461 |
|
2,172 |
1,608 |
$10K |
| 99384 |
|
82 |
74 |
$7K |
| 99000 |
|
747 |
677 |
$7K |
| 99383 |
|
46 |
43 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$974.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
31 |
$885.12 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
90 |
70 |
$708.18 |
| 87807 |
|
37 |
30 |
$265.21 |
| 92587 |
|
33 |
32 |
$182.40 |
| 96160 |
|
86 |
86 |
$169.75 |
| 81003 |
|
101 |
100 |
$132.74 |
| 96161 |
|
14 |
14 |
$21.37 |
| 96127 |
|
12 |
12 |
$15.75 |
| 90619 |
|
277 |
273 |
$1.58 |
| 90686 |
|
867 |
830 |
$1.29 |
| 90677 |
|
71 |
71 |
$0.38 |
| 90697 |
|
54 |
54 |
$0.22 |
| 90620 |
|
60 |
60 |
$0.13 |
| 90651 |
|
269 |
256 |
$0.07 |
| 90734 |
|
56 |
48 |
$0.02 |
| 90670 |
|
539 |
518 |
$0.00 |
| 90633 |
|
127 |
123 |
$0.00 |
| 90715 |
|
79 |
77 |
$0.00 |
| 90707 |
|
42 |
42 |
$0.00 |
| 90672 |
|
20 |
19 |
$0.00 |
| 90710 |
|
80 |
77 |
$0.00 |
| 90680 |
|
80 |
80 |
$0.00 |
| 90698 |
|
152 |
147 |
$0.00 |
| 90716 |
|
43 |
43 |
$0.00 |
| 90656 |
|
134 |
134 |
$0.00 |
| 90696 |
|
30 |
30 |
$0.00 |