| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,022 |
3,673 |
$393K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,713 |
5,057 |
$386K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,278 |
1,278 |
$105K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,257 |
3,160 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
678 |
678 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
507 |
500 |
$36K |
| 92587 |
|
1,801 |
1,801 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,340 |
1,299 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,719 |
1,714 |
$16K |
| G0312 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) |
466 |
463 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
501 |
269 |
$8K |
| 97802 |
|
2,137 |
2,135 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
75 |
75 |
$7K |
| 96127 |
|
1,406 |
1,405 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
91 |
87 |
$4K |
| 99401 |
|
106 |
105 |
$992.00 |
| 36416 |
|
170 |
170 |
$770.20 |
| 85018 |
|
357 |
357 |
$764.65 |
| 0071A |
|
14 |
14 |
$536.35 |
| 97804 |
|
110 |
110 |
$338.06 |
| 81003 |
|
118 |
117 |
$160.87 |
| 90686 |
|
753 |
753 |
$141.32 |
| 99173 |
|
1,189 |
1,189 |
$0.00 |
| 90707 |
|
49 |
49 |
$0.00 |
| 90670 |
|
145 |
144 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90685 |
|
16 |
16 |
$0.00 |
| 90633 |
|
42 |
42 |
$0.00 |
| 3008F |
|
2,231 |
2,229 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,487 |
2,485 |
$0.00 |
| 90716 |
|
32 |
32 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |