| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,179 |
6,055 |
$450K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,722 |
6,573 |
$331K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,163 |
1,034 |
$71K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,020 |
937 |
$59K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,114 |
2,526 |
$36K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,221 |
1,941 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,184 |
1,006 |
$30K |
| 97803 |
|
8,184 |
6,299 |
$26K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
427 |
305 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,748 |
3,933 |
$23K |
| 87428 |
|
536 |
458 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
324 |
237 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
167 |
149 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
241 |
183 |
$8K |
| 99188 |
|
407 |
316 |
$7K |
| 87634 |
|
80 |
73 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
45 |
$3K |
| 92551 |
|
209 |
189 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
102 |
95 |
$1K |
| 90473 |
|
116 |
98 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
26 |
25 |
$861.41 |
| 99499 |
|
44 |
43 |
$388.00 |
| 83655 |
|
31 |
26 |
$297.36 |
| 85018 |
|
44 |
28 |
$64.80 |
| 99173 |
|
22 |
18 |
$38.50 |
| 36416 |
|
71 |
39 |
$5.06 |
| 90674 |
|
198 |
183 |
$0.00 |
| 99174 |
|
334 |
269 |
$0.00 |
| 90723 |
|
100 |
86 |
$0.00 |
| 90686 |
|
422 |
361 |
$0.00 |
| 90680 |
|
108 |
98 |
$0.00 |
| 90677 |
|
145 |
132 |
$0.00 |
| 90697 |
|
93 |
86 |
$0.00 |
| 90656 |
|
45 |
42 |
$0.00 |
| 90648 |
|
233 |
183 |
$0.00 |
| 90670 |
|
242 |
210 |
$0.00 |
| 90661 |
|
176 |
100 |
$0.00 |
| 90671 |
|
84 |
74 |
$0.00 |
| 90633 |
|
45 |
39 |
$0.00 |
| 90685 |
|
17 |
13 |
$0.00 |