| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,609 |
3,487 |
$364K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,587 |
4,326 |
$327K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,412 |
6,227 |
$196K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,871 |
1,863 |
$192K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,955 |
1,947 |
$188K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
875 |
873 |
$87K |
| 90461 |
|
1,954 |
1,895 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
319 |
318 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,495 |
1,062 |
$11K |
| 87428 |
|
175 |
165 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
700 |
669 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
359 |
340 |
$5K |
| 96161 |
|
336 |
333 |
$3K |
| 96127 |
|
411 |
381 |
$2K |
| 96160 |
|
451 |
436 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
33 |
33 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14 |
14 |
$1K |
| 85018 |
|
397 |
393 |
$825.90 |
| 99188 |
|
25 |
25 |
$408.20 |
| 99401 |
|
1,904 |
1,902 |
$141.65 |
| 94760 |
|
14 |
14 |
$22.28 |
| 90723 |
|
1,360 |
1,345 |
$0.00 |
| 90677 |
|
93 |
93 |
$0.00 |
| 90647 |
|
1,037 |
1,026 |
$0.00 |
| 90686 |
|
1,132 |
1,116 |
$0.00 |
| 90651 |
|
114 |
114 |
$0.00 |
| 90696 |
|
28 |
28 |
$0.00 |
| 90620 |
|
24 |
24 |
$0.00 |
| 90633 |
|
603 |
599 |
$0.00 |
| 99173 |
|
348 |
347 |
$0.00 |
| 90670 |
|
1,742 |
1,729 |
$0.00 |
| 90681 |
|
323 |
313 |
$0.00 |
| 90685 |
|
14 |
13 |
$0.00 |
| 90734 |
|
126 |
125 |
$0.00 |
| 90710 |
|
30 |
30 |
$0.00 |
| 90672 |
|
63 |
63 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90700 |
|
15 |
14 |
$0.00 |