| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,720 |
2,886 |
$216K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,337 |
1,026 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,958 |
1,516 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,098 |
814 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,490 |
2,757 |
$39K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,302 |
1,490 |
$18K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
118 |
117 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,064 |
872 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,756 |
2,320 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
141 |
126 |
$8K |
| 92551 |
|
746 |
540 |
$4K |
| 85014 |
|
2,412 |
1,818 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
485 |
162 |
$4K |
| 97803 |
|
2,943 |
1,952 |
$3K |
| 87428 |
|
79 |
67 |
$3K |
| 99188 |
|
133 |
118 |
$3K |
| 80061 |
Lipid panel |
451 |
279 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
25 |
21 |
$2K |
| 99051 |
|
145 |
119 |
$2K |
| 82947 |
|
451 |
287 |
$1K |
| 97802 |
|
289 |
214 |
$1K |
| 90474 |
|
137 |
121 |
$1K |
| 99173 |
|
780 |
598 |
$975.24 |
| 87807 |
|
161 |
81 |
$965.83 |
| 81002 |
|
375 |
333 |
$863.82 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
28 |
24 |
$713.92 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
39 |
15 |
$552.99 |
| 83655 |
|
16 |
14 |
$156.55 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21 |
21 |
$113.75 |
| 84030 |
|
14 |
13 |
$76.73 |
| 36416 |
|
2,824 |
1,855 |
$60.72 |
| 99177 |
|
19 |
13 |
$52.50 |
| 96161 |
|
127 |
113 |
$24.42 |
| 94760 |
|
238 |
164 |
$24.11 |
| 99401 |
|
127 |
106 |
$19.72 |
| 90686 |
|
730 |
570 |
$12.50 |
| 90698 |
|
96 |
83 |
$0.00 |
| 3008F |
|
158 |
136 |
$0.00 |
| 90677 |
|
37 |
27 |
$0.00 |
| 90744 |
|
36 |
27 |
$0.00 |
| 90680 |
|
24 |
13 |
$0.00 |
| 90685 |
|
176 |
148 |
$0.00 |
| 90670 |
|
484 |
404 |
$0.00 |
| 90681 |
|
137 |
121 |
$0.00 |
| 90671 |
|
44 |
32 |
$0.00 |
| 90633 |
|
14 |
12 |
$0.00 |
| 90648 |
|
65 |
45 |
$0.00 |