| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,966 |
4,345 |
$263K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,448 |
5,067 |
$214K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,165 |
2,092 |
$201K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,736 |
1,687 |
$176K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,826 |
1,769 |
$159K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,080 |
6,103 |
$131K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,508 |
1,432 |
$126K |
| 99429 |
|
1,657 |
1,608 |
$53K |
| 99460 |
|
577 |
538 |
$45K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
766 |
705 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,418 |
4,638 |
$42K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
720 |
659 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,974 |
1,715 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,418 |
649 |
$19K |
| 90461 |
|
2,559 |
2,114 |
$9K |
| 96160 |
|
1,967 |
1,885 |
$4K |
| 94760 |
|
3,207 |
2,729 |
$870.95 |
| 99462 |
|
16 |
14 |
$621.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
34 |
$199.01 |
| 90677 |
|
342 |
326 |
$2.00 |
| 90661 |
|
658 |
650 |
$2.00 |
| 90686 |
|
2,605 |
2,482 |
$1.00 |
| 90723 |
|
399 |
393 |
$0.00 |
| 90620 |
|
398 |
383 |
$0.00 |
| 90651 |
|
771 |
740 |
$0.00 |
| 90698 |
|
385 |
365 |
$0.00 |
| 90696 |
|
29 |
26 |
$0.00 |
| 90619 |
|
63 |
60 |
$0.00 |
| 90381 |
|
25 |
13 |
$0.00 |
| 90670 |
|
707 |
685 |
$0.00 |
| 90734 |
|
509 |
487 |
$0.00 |
| 90633 |
|
389 |
365 |
$0.00 |
| 90710 |
|
438 |
412 |
$0.00 |
| 90648 |
|
384 |
378 |
$0.00 |
| 90715 |
|
126 |
121 |
$0.00 |
| 90681 |
|
341 |
334 |
$0.00 |
| 90671 |
|
57 |
55 |
$0.00 |