| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,486 |
1,393 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,361 |
1,288 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
332 |
331 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
303 |
303 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
274 |
272 |
$21K |
| 92552 |
|
877 |
874 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
288 |
287 |
$15K |
| 99215 |
Prolong outpt/office vis |
173 |
148 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
180 |
175 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,657 |
1,623 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,171 |
1,158 |
$9K |
| 94761 |
|
2,084 |
1,916 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
415 |
411 |
$6K |
| 99050 |
|
402 |
388 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
325 |
318 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
128 |
123 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
206 |
100 |
$3K |
| 99000 |
|
269 |
264 |
$3K |
| 99381 |
|
33 |
33 |
$2K |
| 94060 |
|
44 |
40 |
$2K |
| 94760 |
|
334 |
291 |
$738.53 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$723.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
32 |
$435.27 |
| 94150 |
|
25 |
23 |
$266.37 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
36 |
34 |
$188.50 |
| 81002 |
|
33 |
33 |
$93.44 |
| 81003 |
|
12 |
12 |
$20.90 |
| 96160 |
|
21 |
21 |
$17.71 |
| 90674 |
|
106 |
104 |
$0.84 |
| 90686 |
|
404 |
401 |
$0.05 |
| 90710 |
|
32 |
32 |
$0.00 |
| 90670 |
|
131 |
130 |
$0.00 |
| 90672 |
|
21 |
21 |
$0.00 |
| 90633 |
|
38 |
38 |
$0.00 |
| 90685 |
|
58 |
57 |
$0.00 |
| 90681 |
|
32 |
29 |
$0.00 |
| 90648 |
|
52 |
51 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90734 |
|
60 |
60 |
$0.00 |
| 90651 |
|
74 |
74 |
$0.00 |
| 90620 |
|
40 |
40 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90698 |
|
19 |
19 |
$0.00 |