| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,601 |
3,460 |
$401K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,643 |
3,183 |
$380K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,060 |
3,727 |
$280K |
| 90461 |
|
5,422 |
3,383 |
$232K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,088 |
2,085 |
$220K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,114 |
5,411 |
$218K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,274 |
4,261 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
550 |
550 |
$57K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
228 |
227 |
$24K |
| 87428 |
|
211 |
210 |
$15K |
| 99460 |
|
94 |
93 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
419 |
352 |
$7K |
| 99462 |
|
149 |
91 |
$6K |
| 99442 |
|
40 |
40 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
87 |
85 |
$3K |
| 87807 |
|
168 |
164 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
18 |
18 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
16 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
42 |
31 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
62 |
62 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
15 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
25 |
$955.20 |
| 87400 |
|
51 |
27 |
$710.76 |
| 90670 |
|
1,636 |
1,630 |
$11.87 |
| 90680 |
|
1,444 |
1,436 |
$9.86 |
| 90686 |
|
840 |
839 |
$8.20 |
| 90647 |
|
987 |
984 |
$7.22 |
| 90688 |
|
584 |
582 |
$5.61 |
| 90633 |
|
726 |
726 |
$4.70 |
| 90723 |
|
536 |
534 |
$4.15 |
| 90710 |
|
441 |
440 |
$2.62 |
| 90677 |
|
250 |
244 |
$2.43 |
| 90685 |
|
180 |
179 |
$1.73 |
| 90671 |
|
140 |
140 |
$1.38 |
| 90698 |
|
133 |
133 |
$1.13 |
| 90661 |
|
96 |
96 |
$0.96 |
| 90697 |
|
107 |
106 |
$0.46 |
| 90657 |
|
27 |
27 |
$0.27 |
| 90649 |
|
69 |
69 |
$0.24 |
| 90700 |
|
30 |
30 |
$0.22 |
| 90619 |
|
15 |
15 |
$0.15 |
| 90696 |
|
28 |
28 |
$0.13 |
| 90656 |
|
12 |
12 |
$0.12 |
| 90734 |
|
13 |
12 |
$0.12 |
| 90620 |
|
27 |
27 |
$0.04 |