| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,470 |
7,576 |
$470K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,551 |
7,587 |
$384K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
425 |
409 |
$33K |
| 90686 |
|
1,776 |
1,678 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
399 |
391 |
$19K |
| 92551 |
|
2,554 |
2,312 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
789 |
707 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
303 |
282 |
$6K |
| 99173 |
|
2,505 |
2,262 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
46 |
42 |
$4K |
| 0012A |
|
121 |
119 |
$4K |
| 0011A |
|
110 |
107 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
299 |
261 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
28 |
$2K |
| 0134A |
|
55 |
51 |
$2K |
| 81000 |
|
2,611 |
2,352 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
91 |
89 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
14 |
14 |
$707.01 |
| 90685 |
|
41 |
40 |
$618.90 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$244.20 |
| 90651 |
|
24 |
24 |
$242.77 |
| 96127 |
|
136 |
115 |
$214.18 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
114 |
102 |
$154.17 |
| 90688 |
|
176 |
151 |
$149.57 |
| 90662 |
|
131 |
119 |
$126.89 |
| 99215 |
Prolong outpt/office vis |
16 |
13 |
$102.74 |
| 91301 |
|
279 |
268 |
$0.25 |
| 91313 |
|
53 |
50 |
$0.13 |
| 90461 |
|
439 |
408 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,074 |
1,933 |
$0.00 |
| 3078F |
|
30 |
30 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
23 |
$0.00 |
| 3074F |
|
31 |
31 |
$0.00 |
| 3008F |
|
8,135 |
7,346 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
232 |
212 |
$0.00 |