| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,379 |
3,017 |
$364K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,234 |
1,968 |
$172K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
290 |
289 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
268 |
268 |
$24K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
516 |
516 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
175 |
173 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
818 |
795 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
349 |
335 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
692 |
692 |
$13K |
| 87428 |
|
424 |
403 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
401 |
386 |
$11K |
| 92567 |
|
641 |
639 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
65 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
67 |
$6K |
| 99442 |
|
76 |
73 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
104 |
$5K |
| 99441 |
|
98 |
88 |
$5K |
| 96127 |
|
735 |
724 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
37 |
37 |
$2K |
| 87807 |
|
170 |
162 |
$2K |
| 99173 |
|
652 |
650 |
$2K |
| 87430 |
|
88 |
88 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
29 |
28 |
$258.03 |
| 96161 |
|
38 |
38 |
$190.00 |
| 90686 |
|
32 |
32 |
$0.00 |
| 90716 |
|
20 |
20 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90707 |
|
18 |
18 |
$0.00 |
| 90670 |
|
90 |
90 |
$0.00 |
| 96160 |
|
289 |
283 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |