| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,981 |
7,191 |
$475K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,590 |
6,680 |
$293K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,124 |
1,110 |
$103K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
652 |
649 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
618 |
585 |
$56K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,045 |
1,003 |
$41K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,239 |
1,101 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
290 |
287 |
$26K |
| 99499 |
|
1,706 |
1,377 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
421 |
410 |
$18K |
| 92551 |
|
1,862 |
1,842 |
$15K |
| 99173 |
|
2,140 |
2,117 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
631 |
621 |
$12K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
430 |
414 |
$6K |
| 99188 |
|
229 |
221 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
597 |
578 |
$4K |
| 90686 |
|
607 |
606 |
$4K |
| 83655 |
|
636 |
617 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
334 |
299 |
$3K |
| 87807 |
|
164 |
161 |
$2K |
| 0072A |
|
48 |
46 |
$2K |
| 0071A |
|
38 |
36 |
$1K |
| 90677 |
|
44 |
44 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
44 |
$1K |
| 85018 |
|
374 |
359 |
$1K |
| 0001A |
|
27 |
25 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
90 |
$1K |
| 90670 |
|
266 |
266 |
$1K |
| 90698 |
|
118 |
118 |
$781.50 |
| 0002A |
|
17 |
17 |
$680.00 |
| 90656 |
|
52 |
52 |
$585.52 |
| 96161 |
|
160 |
154 |
$526.48 |
| 90619 |
|
92 |
92 |
$483.00 |
| 90697 |
|
42 |
42 |
$421.50 |
| 90680 |
|
51 |
51 |
$324.50 |
| 90633 |
|
65 |
64 |
$258.50 |
| 90651 |
|
15 |
15 |
$159.50 |
| 91300 |
|
35 |
28 |
$0.00 |
| 91307 |
|
76 |
70 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |