| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,479 |
2,179 |
$167K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,789 |
2,460 |
$119K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,058 |
1,008 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
889 |
846 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
911 |
784 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
343 |
324 |
$24K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
597 |
512 |
$21K |
| 90686 |
|
1,221 |
1,167 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
663 |
609 |
$19K |
| 92551 |
|
1,892 |
1,794 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
424 |
225 |
$6K |
| 90670 |
|
276 |
246 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,101 |
1,016 |
$4K |
| 99441 |
|
90 |
79 |
$3K |
| 90680 |
|
169 |
150 |
$3K |
| 99173 |
|
1,965 |
1,866 |
$3K |
| 99401 |
|
176 |
138 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
221 |
174 |
$3K |
| 90685 |
|
177 |
165 |
$1K |
| 99442 |
|
21 |
19 |
$1K |
| 90698 |
|
31 |
27 |
$551.75 |
| 90651 |
|
43 |
42 |
$353.12 |
| 96127 |
|
63 |
57 |
$282.71 |
| 87807 |
|
47 |
46 |
$270.65 |
| 90633 |
|
29 |
25 |
$264.84 |
| 90620 |
|
18 |
13 |
$154.49 |
| 94760 |
|
79 |
60 |
$75.40 |
| 90715 |
|
12 |
12 |
$22.07 |
| 90734 |
|
19 |
18 |
$22.07 |
| 99000 |
|
19 |
16 |
$18.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
140 |
126 |
$0.00 |
| 90461 |
|
1,182 |
1,088 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,078 |
2,854 |
$0.00 |