| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,381 |
18,101 |
$2.05M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,904 |
10,180 |
$1.13M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,121 |
2,863 |
$314K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,827 |
2,774 |
$283K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,777 |
1,750 |
$152K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,021 |
3,866 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,112 |
1,082 |
$92K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
889 |
867 |
$58K |
| 99215 |
Prolong outpt/office vis |
179 |
170 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,638 |
2,526 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
61 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
471 |
464 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
199 |
196 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
71 |
70 |
$3K |
| 90686 |
|
1,019 |
1,017 |
$2K |
| 96127 |
|
370 |
362 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
264 |
264 |
$2K |
| 99460 |
|
15 |
15 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
17 |
$1K |
| 96161 |
|
248 |
243 |
$675.00 |
| 90651 |
|
114 |
111 |
$670.06 |
| 90661 |
|
136 |
136 |
$620.99 |
| 90677 |
|
223 |
187 |
$558.11 |
| 87807 |
|
46 |
44 |
$518.75 |
| 90670 |
|
647 |
647 |
$226.01 |
| 90656 |
|
22 |
22 |
$83.72 |
| 90674 |
|
137 |
137 |
$64.00 |
| 99173 |
|
20 |
18 |
$22.00 |
| 96160 |
|
1,874 |
1,837 |
$6.27 |
| 90680 |
|
355 |
340 |
$0.00 |
| 90723 |
|
346 |
343 |
$0.00 |
| 90647 |
|
470 |
455 |
$0.00 |
| 99406 |
|
57 |
56 |
$0.00 |
| 90698 |
|
28 |
28 |
$0.00 |
| 90620 |
|
33 |
28 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90633 |
|
192 |
189 |
$0.00 |
| 90734 |
|
62 |
62 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90700 |
|
16 |
16 |
$0.00 |
| 90681 |
|
24 |
24 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |