| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,558 |
2,286 |
$127K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
858 |
821 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
755 |
728 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,610 |
1,502 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
640 |
599 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
537 |
515 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,186 |
2,513 |
$37K |
| 92551 |
|
1,478 |
1,410 |
$11K |
| 90461 |
|
1,178 |
968 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,000 |
928 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
266 |
243 |
$4K |
| 99000 |
|
322 |
311 |
$3K |
| 83655 |
|
301 |
295 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
69 |
66 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
199 |
197 |
$3K |
| 99381 |
|
38 |
37 |
$3K |
| 36410 |
|
151 |
145 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
112 |
41 |
$1K |
| 96160 |
|
483 |
455 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
44 |
$1K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
133 |
116 |
$785.40 |
| 85018 |
|
257 |
250 |
$486.12 |
| 99173 |
|
854 |
795 |
$138.72 |
| 90734 |
|
245 |
221 |
$0.05 |
| 90670 |
|
519 |
492 |
$0.04 |
| 90633 |
|
325 |
304 |
$0.03 |
| 90686 |
|
1,147 |
1,117 |
$0.02 |
| 90620 |
|
136 |
125 |
$0.02 |
| 90648 |
|
173 |
169 |
$0.01 |
| 90680 |
|
262 |
256 |
$0.01 |
| 90715 |
|
65 |
61 |
$0.00 |
| 90710 |
|
51 |
51 |
$0.00 |
| 99177 |
|
114 |
104 |
$0.00 |
| 90707 |
|
57 |
55 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| 90651 |
|
265 |
246 |
$0.00 |
| 90698 |
|
195 |
190 |
$0.00 |
| 90744 |
|
34 |
31 |
$0.00 |
| 96127 |
|
73 |
73 |
$0.00 |
| 90716 |
|
30 |
29 |
$0.00 |
| 90696 |
|
44 |
44 |
$0.00 |
| 90723 |
|
58 |
58 |
$0.00 |