| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,498 |
12,262 |
$417K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,861 |
2,824 |
$215K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,580 |
2,519 |
$206K |
| 87428 |
|
2,995 |
2,599 |
$187K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,123 |
2,058 |
$182K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,465 |
8,047 |
$170K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,909 |
6,496 |
$147K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,887 |
1,864 |
$139K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,949 |
4,495 |
$36K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,000 |
931 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,929 |
3,017 |
$27K |
| 90461 |
|
3,374 |
2,576 |
$13K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,721 |
1,605 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
813 |
775 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,463 |
676 |
$10K |
| 99381 |
|
95 |
93 |
$8K |
| 83655 |
|
431 |
429 |
$4K |
| 96160 |
|
1,505 |
1,443 |
$2K |
| 99383 |
|
19 |
15 |
$1K |
| 86580 |
|
244 |
130 |
$836.87 |
| 0072A |
|
18 |
18 |
$728.00 |
| 0071A |
|
17 |
17 |
$704.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
74 |
67 |
$699.73 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$297.96 |
| 99429 |
|
24 |
24 |
$293.28 |
| 96161 |
|
56 |
54 |
$113.85 |
| 97802 |
|
6,574 |
6,403 |
$37.02 |
| 99000 |
|
26 |
26 |
$30.00 |
| 90671 |
|
681 |
677 |
$0.75 |
| 90686 |
|
2,066 |
2,013 |
$0.65 |
| 90651 |
|
1,029 |
1,000 |
$0.37 |
| 90620 |
|
601 |
589 |
$0.18 |
| 90680 |
|
388 |
385 |
$0.00 |
| 90723 |
|
400 |
397 |
$0.00 |
| 90696 |
|
163 |
158 |
$0.00 |
| 90697 |
|
238 |
237 |
$0.00 |
| 36416 |
|
26 |
26 |
$0.00 |
| 91307 |
|
63 |
53 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
26 |
26 |
$0.00 |
| 90698 |
|
187 |
182 |
$0.00 |
| 90648 |
|
906 |
897 |
$0.00 |
| 90633 |
|
953 |
943 |
$0.00 |
| 90670 |
|
1,029 |
1,019 |
$0.00 |
| 90710 |
|
831 |
816 |
$0.00 |
| 90715 |
|
217 |
207 |
$0.00 |
| 99051 |
|
67 |
66 |
$0.00 |
| 90700 |
|
312 |
309 |
$0.00 |
| 90681 |
|
172 |
171 |
$0.00 |
| 90734 |
|
728 |
710 |
$0.00 |