| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,782 |
2,579 |
$167K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,181 |
2,984 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,017 |
2,809 |
$118K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,595 |
2,575 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,043 |
1,039 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
600 |
600 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
541 |
531 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
221 |
221 |
$15K |
| 96160 |
|
850 |
848 |
$10K |
| 96127 |
|
2,496 |
2,387 |
$9K |
| 99051 |
|
247 |
241 |
$8K |
| 96161 |
|
294 |
289 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
98 |
96 |
$3K |
| 0072A |
|
70 |
69 |
$3K |
| D1206 |
Topical application of fluoride varnish |
153 |
153 |
$3K |
| 0071A |
|
48 |
48 |
$2K |
| 99383 |
|
12 |
12 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
33 |
33 |
$1K |
| 94760 |
|
532 |
476 |
$601.67 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
18 |
$531.59 |
| 0004A |
|
12 |
12 |
$504.00 |
| 0053A |
|
13 |
13 |
$460.28 |
| 0074A |
|
12 |
12 |
$440.00 |
| 90686 |
|
1,241 |
1,234 |
$233.03 |
| 90480 |
|
14 |
14 |
$213.44 |
| 96380 |
|
12 |
12 |
$205.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$157.41 |
| 90656 |
|
164 |
163 |
$23.47 |
| 90461 |
|
1,222 |
1,206 |
$0.00 |
| 99072 |
|
3,901 |
3,362 |
$0.00 |
| 90670 |
|
320 |
320 |
$0.00 |
| 90700 |
|
807 |
804 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
474 |
456 |
$0.00 |
| 90713 |
|
494 |
492 |
$0.00 |
| 90633 |
|
50 |
50 |
$0.00 |
| 91300 |
|
37 |
33 |
$0.00 |
| 90707 |
|
29 |
29 |
$0.00 |
| 90648 |
|
25 |
25 |
$0.00 |
| 90685 |
|
82 |
82 |
$0.00 |
| 90647 |
|
414 |
414 |
$0.00 |
| 90680 |
|
88 |
88 |
$0.00 |
| 90744 |
|
41 |
41 |
$0.00 |
| 99000 |
|
71 |
70 |
$0.00 |
| 90677 |
|
102 |
102 |
$0.00 |
| 90716 |
|
49 |
49 |
$0.00 |
| 91307 |
|
138 |
126 |
$0.00 |
| 91305 |
|
16 |
14 |
$0.00 |