| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
860 |
779 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,059 |
1,004 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
430 |
369 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
298 |
286 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
950 |
807 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
195 |
185 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
45 |
$5K |
| 99460 |
|
57 |
54 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
276 |
267 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
51 |
49 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
96 |
77 |
$2K |
| 99381 |
|
19 |
13 |
$1K |
| 94760 |
|
482 |
463 |
$947.13 |
| 36416 |
|
245 |
230 |
$773.19 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$615.72 |
| 87999 |
|
269 |
261 |
$250.80 |
| 81002 |
|
77 |
74 |
$166.04 |
| 85018 |
|
26 |
25 |
$52.10 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
73 |
73 |
$1.95 |
| 99000 |
|
291 |
278 |
$0.00 |
| 90723 |
|
87 |
75 |
$0.00 |
| 90686 |
|
232 |
193 |
$0.00 |
| 96127 |
|
20 |
18 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90680 |
|
21 |
14 |
$0.00 |
| 90670 |
|
117 |
100 |
$0.00 |
| 90648 |
|
104 |
91 |
$0.00 |
| 99173 |
|
68 |
64 |
$0.00 |
| 97803 |
|
449 |
413 |
$0.00 |
| 90734 |
|
18 |
16 |
$0.00 |
| 90633 |
|
35 |
34 |
$0.00 |