| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,766 |
7,998 |
$673K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,468 |
10,684 |
$662K |
| 99215 |
Prolong outpt/office vis |
4,175 |
3,964 |
$441K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,524 |
2,478 |
$216K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,557 |
6,398 |
$207K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,021 |
1,995 |
$175K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,144 |
2,110 |
$172K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
968 |
961 |
$93K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,354 |
3,135 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
701 |
682 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
453 |
445 |
$47K |
| 99441 |
|
1,655 |
1,579 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,837 |
1,738 |
$27K |
| 99381 |
|
218 |
212 |
$20K |
| 99205 |
Prolong outpt/office vis |
59 |
56 |
$8K |
| 99383 |
|
75 |
73 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
186 |
186 |
$6K |
| 99442 |
|
170 |
159 |
$6K |
| 87807 |
|
386 |
373 |
$5K |
| 99382 |
|
24 |
24 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
31 |
$989.76 |
| 92551 |
|
30 |
30 |
$378.60 |
| 99173 |
|
13 |
13 |
$42.12 |
| 90680 |
|
120 |
113 |
$0.00 |
| 90686 |
|
158 |
149 |
$0.00 |
| 90698 |
|
256 |
236 |
$0.00 |
| 90744 |
|
36 |
36 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 90651 |
|
16 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90670 |
|
685 |
641 |
$0.00 |
| 90633 |
|
173 |
150 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90700 |
|
48 |
45 |
$0.00 |
| 90648 |
|
19 |
17 |
$0.00 |