| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,860 |
7,195 |
$385K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,507 |
5,817 |
$221K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,745 |
1,692 |
$123K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,784 |
3,368 |
$74K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,330 |
1,289 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
852 |
803 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
598 |
597 |
$48K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,748 |
3,469 |
$44K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,476 |
1,594 |
$38K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,758 |
1,710 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
239 |
237 |
$20K |
| 92551 |
|
1,284 |
1,247 |
$11K |
| 90461 |
|
2,279 |
1,624 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
65 |
$3K |
| 99381 |
|
45 |
43 |
$2K |
| 87807 |
|
231 |
217 |
$2K |
| 83655 |
|
151 |
141 |
$1K |
| 99384 |
|
14 |
14 |
$996.12 |
| 99000 |
|
93 |
74 |
$864.00 |
| 99001 |
|
150 |
141 |
$745.20 |
| 99383 |
|
25 |
24 |
$733.04 |
| 99429 |
|
15 |
15 |
$512.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$294.48 |
| 85018 |
|
102 |
97 |
$142.61 |
| S8301 |
Infection control supplies, not otherwise specified |
99 |
75 |
$87.50 |
| 96160 |
|
53 |
53 |
$71.71 |
| 90686 |
|
583 |
547 |
$15.77 |
| 90619 |
|
42 |
42 |
$0.42 |
| 90671 |
|
13 |
13 |
$0.13 |
| 90734 |
|
26 |
25 |
$0.03 |
| 90670 |
|
818 |
747 |
$0.03 |
| 90633 |
|
365 |
343 |
$0.03 |
| 90716 |
|
204 |
198 |
$0.03 |
| 90651 |
|
58 |
58 |
$0.01 |
| 90707 |
|
159 |
157 |
$0.00 |
| 99173 |
|
771 |
728 |
$0.00 |
| 99072 |
|
69 |
55 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90656 |
|
58 |
58 |
$0.00 |
| 36416 |
|
241 |
233 |
$0.00 |
| 90698 |
|
531 |
481 |
$0.00 |
| 90680 |
|
432 |
386 |
$0.00 |
| 90744 |
|
284 |
250 |
$0.00 |
| 96127 |
|
146 |
137 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |