| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,513 |
4,164 |
$211K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,517 |
4,205 |
$149K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,428 |
1,404 |
$108K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,217 |
4,111 |
$83K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
924 |
887 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
671 |
663 |
$54K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,153 |
1,091 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,097 |
3,333 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
298 |
295 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,563 |
755 |
$20K |
| 90461 |
|
2,006 |
1,723 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
296 |
285 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
436 |
421 |
$6K |
| 0072A |
|
39 |
39 |
$2K |
| 0071A |
|
36 |
35 |
$1K |
| 87428 |
|
25 |
23 |
$1K |
| 0002A |
|
25 |
25 |
$1K |
| 0001A |
|
15 |
15 |
$600.00 |
| 99173 |
|
1,291 |
1,265 |
$367.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
42 |
$313.60 |
| 99051 |
|
28 |
26 |
$276.94 |
| 90715 |
|
12 |
12 |
$32.90 |
| 92552 |
|
12 |
12 |
$26.38 |
| 94760 |
|
65 |
62 |
$2.09 |
| 90686 |
|
1,450 |
1,432 |
$0.02 |
| 90670 |
|
562 |
553 |
$0.02 |
| 90677 |
|
84 |
84 |
$0.00 |
| 90680 |
|
171 |
171 |
$0.00 |
| 90656 |
|
145 |
144 |
$0.00 |
| 90698 |
|
140 |
140 |
$0.00 |
| 96127 |
|
173 |
172 |
$0.00 |
| 90651 |
|
44 |
43 |
$0.00 |
| 90688 |
|
59 |
59 |
$0.00 |
| 90619 |
|
17 |
17 |
$0.00 |
| 91307 |
|
82 |
72 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 94664 |
|
53 |
53 |
$0.00 |
| 99072 |
|
838 |
789 |
$0.00 |
| 90633 |
|
79 |
79 |
$0.00 |
| 91300 |
|
82 |
76 |
$0.00 |