| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,468 |
13,464 |
$905K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,256 |
16,925 |
$744K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,669 |
7,546 |
$272K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,364 |
2,332 |
$182K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,719 |
2,633 |
$173K |
| 92587 |
|
4,596 |
4,530 |
$171K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,172 |
1,161 |
$93K |
| 90461 |
|
2,436 |
2,078 |
$80K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,712 |
4,492 |
$69K |
| 87428 |
|
1,307 |
1,254 |
$55K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,104 |
1,067 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,214 |
1,006 |
$31K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
338 |
322 |
$30K |
| 99051 |
|
2,897 |
2,720 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
250 |
247 |
$23K |
| 96127 |
|
3,439 |
2,285 |
$12K |
| 99177 |
|
2,696 |
2,657 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
414 |
398 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
733 |
717 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
165 |
153 |
$7K |
| 90670 |
|
991 |
961 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
111 |
111 |
$4K |
| 90698 |
|
894 |
868 |
$3K |
| 90686 |
|
1,925 |
1,890 |
$3K |
| 0071A |
|
37 |
34 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
43 |
26 |
$1K |
| 0072A |
|
29 |
29 |
$1K |
| 87807 |
|
82 |
77 |
$987.76 |
| 90680 |
|
244 |
236 |
$731.97 |
| 90672 |
|
30 |
30 |
$525.19 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
26 |
$454.74 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$257.36 |
| 90633 |
|
101 |
101 |
$233.57 |
| 90685 |
|
102 |
99 |
$138.79 |
| 90661 |
|
139 |
137 |
$135.24 |
| 90744 |
|
75 |
75 |
$131.21 |
| 92558 |
|
22 |
22 |
$120.33 |
| 85018 |
|
14 |
14 |
$21.32 |
| 81003 |
|
24 |
24 |
$11.54 |
| 91307 |
|
38 |
32 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90677 |
|
25 |
25 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |