| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,531 |
3,105 |
$263K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,723 |
3,330 |
$182K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,384 |
1,125 |
$106K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
992 |
870 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
718 |
658 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
426 |
374 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,395 |
1,171 |
$22K |
| 90677 |
|
199 |
189 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
551 |
482 |
$8K |
| 90686 |
|
666 |
614 |
$7K |
| 90670 |
|
479 |
395 |
$7K |
| 90647 |
|
359 |
290 |
$5K |
| 90651 |
|
250 |
206 |
$4K |
| 90723 |
|
258 |
225 |
$4K |
| 90680 |
|
207 |
171 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
201 |
174 |
$3K |
| 90734 |
|
243 |
197 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
67 |
55 |
$3K |
| 90633 |
|
200 |
145 |
$3K |
| 90710 |
|
171 |
120 |
$2K |
| 96160 |
|
175 |
148 |
$2K |
| 99383 |
|
15 |
12 |
$1K |
| 90685 |
|
180 |
154 |
$1K |
| 90715 |
|
75 |
56 |
$1K |
| 90696 |
|
82 |
56 |
$1K |
| 83655 |
|
73 |
63 |
$857.19 |
| 90661 |
|
46 |
45 |
$831.23 |
| 90656 |
|
18 |
18 |
$304.98 |
| 87807 |
|
22 |
21 |
$216.29 |
| 90648 |
|
29 |
29 |
$202.11 |
| 85018 |
|
78 |
64 |
$178.81 |
| 90698 |
|
14 |
14 |
$89.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
351 |
291 |
$0.00 |
| 90461 |
|
90 |
66 |
$0.00 |