| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,666 |
5,077 |
$614K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,052 |
6,255 |
$525K |
| 99215 |
Prolong outpt/office vis |
952 |
910 |
$140K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,391 |
1,391 |
$133K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,358 |
1,354 |
$122K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,273 |
1,199 |
$105K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
911 |
910 |
$95K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,284 |
5,168 |
$92K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
615 |
574 |
$69K |
| 87428 |
|
992 |
921 |
$60K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
2,815 |
2,435 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
732 |
704 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,744 |
1,196 |
$29K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
755 |
718 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
628 |
592 |
$25K |
| 90461 |
|
1,417 |
1,393 |
$20K |
| 87807 |
|
1,424 |
1,332 |
$18K |
| 92587 |
|
540 |
539 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,388 |
2,252 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,608 |
1,562 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
304 |
285 |
$6K |
| 99051 |
|
739 |
717 |
$4K |
| 90671 |
|
34 |
34 |
$3K |
| 96127 |
|
669 |
664 |
$3K |
| 0071A |
|
56 |
56 |
$2K |
| 0002A |
|
45 |
45 |
$2K |
| 0072A |
|
46 |
46 |
$2K |
| 0001A |
|
49 |
48 |
$1K |
| 90677 |
|
54 |
54 |
$1K |
| 96160 |
|
432 |
431 |
$1K |
| 90686 |
|
1,299 |
1,265 |
$852.81 |
| 81002 |
|
291 |
288 |
$574.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
58 |
55 |
$548.02 |
| 0124A |
|
13 |
13 |
$521.44 |
| 99188 |
|
26 |
26 |
$365.03 |
| 90734 |
|
51 |
51 |
$278.94 |
| 90670 |
|
241 |
240 |
$241.38 |
| 90688 |
|
396 |
394 |
$236.55 |
| 99174 |
|
400 |
388 |
$198.71 |
| 90656 |
|
190 |
190 |
$63.09 |
| 90698 |
|
225 |
225 |
$41.13 |
| 91307 |
|
18 |
17 |
$2.02 |
| 91312 |
|
13 |
13 |
$0.03 |
| 99000 |
|
236 |
223 |
$0.02 |
| 91300 |
|
63 |
58 |
$0.00 |
| 90633 |
|
26 |
26 |
$0.00 |
| 90715 |
|
29 |
29 |
$0.00 |
| 96111 |
|
79 |
75 |
$0.00 |
| 90651 |
|
56 |
56 |
$0.00 |
| 90619 |
|
39 |
39 |
$0.00 |
| 90744 |
|
54 |
54 |
$0.00 |
| 90680 |
|
69 |
69 |
$0.00 |