| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,332 |
2,101 |
$126K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,120 |
1,034 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,795 |
1,572 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
950 |
826 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,729 |
1,538 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
500 |
470 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,111 |
1,929 |
$28K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,352 |
1,271 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
272 |
260 |
$19K |
| 92551 |
|
1,416 |
1,303 |
$10K |
| 99188 |
|
686 |
523 |
$10K |
| 0240U |
|
61 |
41 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
139 |
114 |
$4K |
| 90474 |
|
421 |
388 |
$4K |
| 83655 |
|
335 |
285 |
$3K |
| 99173 |
|
1,417 |
1,296 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
115 |
111 |
$2K |
| 96160 |
|
405 |
326 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
146 |
128 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
15 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
38 |
36 |
$1K |
| 85018 |
|
586 |
437 |
$820.77 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
24 |
15 |
$188.06 |
| 97802 |
|
81 |
49 |
$134.89 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
13 |
$131.16 |
| 90633 |
|
303 |
269 |
$0.00 |
| 90670 |
|
561 |
521 |
$0.00 |
| 90648 |
|
656 |
573 |
$0.00 |
| 90710 |
|
184 |
172 |
$0.00 |
| 90671 |
|
137 |
108 |
$0.00 |
| 90700 |
|
44 |
40 |
$0.00 |
| 90681 |
|
36 |
29 |
$0.00 |
| 90734 |
|
15 |
12 |
$0.00 |
| 90686 |
|
418 |
377 |
$0.00 |
| 90680 |
|
391 |
342 |
$0.00 |
| 90723 |
|
451 |
395 |
$0.00 |
| 90651 |
|
97 |
73 |
$0.00 |
| 90619 |
|
18 |
12 |
$0.00 |