| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,030 |
2,825 |
$299K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,320 |
3,141 |
$215K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,920 |
1,643 |
$181K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,129 |
3,639 |
$144K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,240 |
1,223 |
$126K |
| 87428 |
|
1,694 |
1,612 |
$103K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
300 |
292 |
$30K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
238 |
230 |
$27K |
| G9153 |
Mapcp demonstration - physician incentive pool |
405 |
399 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
675 |
643 |
$23K |
| 90461 |
|
664 |
639 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
162 |
157 |
$8K |
| 99460 |
|
81 |
78 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
40 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
65 |
64 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
584 |
406 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
24 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
241 |
239 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
228 |
115 |
$3K |
| 99462 |
|
37 |
36 |
$1K |
| 96127 |
|
189 |
125 |
$1K |
| 87807 |
|
95 |
93 |
$998.41 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
27 |
$553.69 |
| 90677 |
|
212 |
211 |
$289.17 |
| 90651 |
|
25 |
24 |
$224.19 |
| 85018 |
|
28 |
25 |
$61.88 |
| 90656 |
|
46 |
46 |
$19.45 |
| 90633 |
|
331 |
327 |
$0.02 |
| 90670 |
|
676 |
650 |
$0.00 |
| 90648 |
|
617 |
593 |
$0.00 |
| 90707 |
|
26 |
24 |
$0.00 |
| 90680 |
|
411 |
393 |
$0.00 |
| 90686 |
|
489 |
481 |
$0.00 |
| 90723 |
|
605 |
580 |
$0.00 |
| 90716 |
|
31 |
28 |
$0.00 |