| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,604 |
2,457 |
$227K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,733 |
3,311 |
$221K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
819 |
818 |
$66K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,533 |
2,518 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
639 |
601 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
525 |
524 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
314 |
314 |
$26K |
| 99215 |
Prolong outpt/office vis |
106 |
104 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,379 |
1,372 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,822 |
1,799 |
$11K |
| 36416 |
|
1,616 |
1,595 |
$6K |
| 96127 |
|
2,369 |
2,091 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
127 |
124 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
276 |
269 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
49 |
48 |
$3K |
| 81002 |
|
1,264 |
1,218 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
120 |
115 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
146 |
113 |
$3K |
| 89190 |
|
366 |
355 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
119 |
119 |
$1K |
| 87634 |
|
14 |
14 |
$525.48 |
| 90686 |
|
520 |
517 |
$182.01 |
| 90656 |
|
49 |
48 |
$0.00 |
| 94760 |
|
92 |
84 |
$0.00 |
| 90680 |
|
65 |
65 |
$0.00 |
| 90697 |
|
14 |
14 |
$0.00 |
| 90698 |
|
214 |
213 |
$0.00 |
| 99000 |
|
32 |
31 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90461 |
|
1,060 |
1,058 |
$0.00 |
| 90633 |
|
69 |
69 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90670 |
|
218 |
213 |
$0.00 |
| 90671 |
|
88 |
87 |
$0.00 |
| 99072 |
|
25 |
23 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |