| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,453 |
12,281 |
$669K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,607 |
5,281 |
$235K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,909 |
2,680 |
$233K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,307 |
2,101 |
$171K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,921 |
1,769 |
$168K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,397 |
5,207 |
$123K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,587 |
1,399 |
$108K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,463 |
3,344 |
$99K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,161 |
1,899 |
$79K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,307 |
1,206 |
$74K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,905 |
4,402 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,030 |
935 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,784 |
2,441 |
$22K |
| 87807 |
|
1,114 |
1,011 |
$12K |
| 99442 |
|
244 |
231 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
47 |
42 |
$4K |
| 96160 |
|
1,493 |
1,389 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$980.94 |
| 86580 |
|
82 |
76 |
$558.18 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
18 |
$303.76 |
| 83655 |
|
49 |
47 |
$278.19 |
| 90658 |
|
204 |
201 |
$181.54 |
| 85018 |
|
59 |
53 |
$77.53 |
| 90671 |
|
641 |
596 |
$2.09 |
| 90674 |
|
77 |
77 |
$0.71 |
| 90686 |
|
732 |
723 |
$0.65 |
| 90651 |
|
842 |
753 |
$0.50 |
| 90619 |
|
174 |
161 |
$0.15 |
| 90620 |
|
75 |
72 |
$0.10 |
| 90734 |
|
220 |
193 |
$0.04 |
| 90715 |
|
313 |
281 |
$0.04 |
| 90648 |
|
988 |
871 |
$0.02 |
| 90670 |
|
1,060 |
924 |
$0.02 |
| 90723 |
|
499 |
429 |
$0.02 |
| 90710 |
|
994 |
904 |
$0.00 |
| 90633 |
|
991 |
894 |
$0.00 |
| 90700 |
|
186 |
169 |
$0.00 |
| 90685 |
|
61 |
61 |
$0.00 |
| 90680 |
|
809 |
727 |
$0.00 |
| 96127 |
|
1,287 |
1,202 |
$0.00 |
| 90698 |
|
542 |
505 |
$0.00 |
| 97802 |
|
21 |
21 |
$0.00 |
| 90696 |
|
245 |
227 |
$0.00 |
| 90744 |
|
57 |
57 |
$0.00 |
| 36416 |
|
24 |
12 |
$0.00 |
| 90657 |
|
26 |
26 |
$0.00 |