| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,329 |
9,036 |
$955K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,159 |
3,780 |
$255K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,184 |
2,140 |
$148K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,918 |
1,853 |
$130K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,795 |
1,730 |
$118K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
913 |
900 |
$62K |
| 90686 |
|
1,698 |
1,660 |
$33K |
| 90670 |
|
1,568 |
1,547 |
$31K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,002 |
958 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,812 |
1,724 |
$24K |
| 90680 |
|
875 |
863 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
118 |
110 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,443 |
710 |
$16K |
| 90648 |
|
763 |
757 |
$15K |
| 99173 |
|
3,106 |
2,985 |
$13K |
| 90716 |
|
565 |
558 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
755 |
722 |
$11K |
| 90633 |
|
511 |
510 |
$10K |
| 90707 |
|
510 |
501 |
$10K |
| 90688 |
|
482 |
481 |
$9K |
| 99215 |
Prolong outpt/office vis |
80 |
73 |
$9K |
| 90700 |
|
407 |
402 |
$8K |
| 90723 |
|
388 |
386 |
$8K |
| 90661 |
|
237 |
235 |
$7K |
| 90651 |
|
371 |
355 |
$7K |
| 90674 |
|
319 |
316 |
$6K |
| 90685 |
|
260 |
260 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
144 |
137 |
$5K |
| 92551 |
|
969 |
930 |
$4K |
| 90734 |
|
132 |
130 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
58 |
$2K |
| 90697 |
|
93 |
91 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
210 |
180 |
$2K |
| 90713 |
|
83 |
83 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$1K |
| 90620 |
|
54 |
54 |
$1K |
| 90698 |
|
36 |
36 |
$712.44 |
| 90649 |
|
32 |
32 |
$633.28 |
| 90677 |
|
36 |
32 |
$613.49 |
| 0071A |
|
14 |
14 |
$560.00 |
| 90715 |
|
25 |
25 |
$474.96 |
| 36416 |
|
133 |
125 |
$325.00 |
| 96127 |
|
24 |
24 |
$78.48 |
| 3044F |
|
88 |
86 |
$0.00 |
| 94760 |
|
14 |
12 |
$0.00 |