| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,735 |
4,973 |
$358K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,600 |
3,212 |
$153K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,680 |
1,519 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
680 |
602 |
$40K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
468 |
428 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
505 |
479 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,415 |
2,158 |
$30K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,369 |
1,256 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
476 |
351 |
$15K |
| 87428 |
|
478 |
363 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
339 |
309 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
240 |
216 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
112 |
106 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
111 |
91 |
$6K |
| 99188 |
|
267 |
220 |
$5K |
| 87634 |
|
60 |
57 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
753 |
684 |
$3K |
| 92551 |
|
484 |
444 |
$3K |
| 97803 |
|
3,413 |
2,939 |
$2K |
| 0002A |
|
31 |
26 |
$1K |
| 0001A |
|
20 |
20 |
$902.29 |
| 90473 |
|
92 |
86 |
$896.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
134 |
61 |
$714.50 |
| 92558 |
|
12 |
12 |
$285.00 |
| 96127 |
|
12 |
12 |
$212.50 |
| 83655 |
|
45 |
18 |
$204.68 |
| 99173 |
|
151 |
127 |
$197.73 |
| 81003 |
|
26 |
24 |
$51.52 |
| 85018 |
|
29 |
16 |
$35.40 |
| 90686 |
|
750 |
652 |
$19.03 |
| 90680 |
|
91 |
86 |
$0.00 |
| 90723 |
|
105 |
100 |
$0.00 |
| 99174 |
|
91 |
71 |
$0.00 |
| 90651 |
|
62 |
54 |
$0.00 |
| 90674 |
|
174 |
161 |
$0.00 |
| 36416 |
|
81 |
31 |
$0.00 |
| 91307 |
|
19 |
13 |
$0.00 |
| 90633 |
|
66 |
60 |
$0.00 |
| 90648 |
|
280 |
259 |
$0.00 |
| 90670 |
|
279 |
268 |
$0.00 |
| 90685 |
|
24 |
24 |
$0.00 |
| 91300 |
|
82 |
69 |
$0.00 |
| 90661 |
|
27 |
27 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |