| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,151 |
5,249 |
$455K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,299 |
6,395 |
$407K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,116 |
1,977 |
$152K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,988 |
1,853 |
$142K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,181 |
1,836 |
$128K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,515 |
1,425 |
$120K |
| 92551 |
|
4,953 |
4,589 |
$44K |
| 90670 |
|
2,213 |
1,955 |
$43K |
| 90651 |
|
1,286 |
1,215 |
$42K |
| 87428 |
|
992 |
894 |
$32K |
| 99381 |
|
391 |
302 |
$18K |
| 90734 |
|
801 |
752 |
$16K |
| 90697 |
|
401 |
325 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,446 |
6,732 |
$13K |
| 90633 |
|
1,137 |
1,055 |
$13K |
| 90686 |
|
1,172 |
1,091 |
$13K |
| 90680 |
|
1,029 |
885 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,189 |
539 |
$12K |
| 99173 |
|
5,001 |
4,646 |
$11K |
| 90648 |
|
911 |
828 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
749 |
667 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
281 |
247 |
$8K |
| 90710 |
|
311 |
281 |
$8K |
| 90677 |
|
101 |
92 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
768 |
704 |
$8K |
| 90620 |
|
162 |
152 |
$7K |
| 90621 |
|
148 |
134 |
$6K |
| 99383 |
|
67 |
64 |
$6K |
| 90461 |
|
3,826 |
3,420 |
$5K |
| 90723 |
|
381 |
342 |
$4K |
| 90715 |
|
287 |
264 |
$4K |
| 90696 |
|
262 |
243 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
92 |
87 |
$3K |
| 90700 |
|
173 |
158 |
$2K |
| 87807 |
|
143 |
124 |
$1K |
| 99384 |
|
14 |
12 |
$1K |
| 99382 |
|
15 |
14 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$1K |
| 90698 |
|
98 |
86 |
$1K |
| 90685 |
|
68 |
62 |
$712.30 |
| 90707 |
|
29 |
29 |
$564.20 |
| 90716 |
|
42 |
39 |
$429.55 |
| 90713 |
|
37 |
32 |
$341.55 |
| 90672 |
|
15 |
14 |
$155.10 |
| 90744 |
|
16 |
14 |
$154.00 |
| 99177 |
|
12 |
12 |
$42.26 |