| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,318 |
5,868 |
$553K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,230 |
5,752 |
$388K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,607 |
4,404 |
$187K |
| 92587 |
|
4,757 |
4,506 |
$139K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,292 |
1,249 |
$108K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
929 |
901 |
$85K |
| 96127 |
|
4,439 |
4,127 |
$76K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,800 |
3,189 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
389 |
368 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
617 |
542 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
955 |
948 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,596 |
1,574 |
$19K |
| 99173 |
|
2,990 |
2,844 |
$19K |
| 99177 |
|
1,158 |
1,102 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
334 |
333 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,366 |
1,286 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
301 |
279 |
$4K |
| 96161 |
|
380 |
331 |
$4K |
| 0072A |
|
77 |
77 |
$3K |
| 0071A |
|
72 |
72 |
$3K |
| 36416 |
|
501 |
478 |
$1K |
| 94760 |
|
477 |
446 |
$753.66 |
| 99174 |
|
44 |
42 |
$464.00 |
| 92551 |
|
80 |
74 |
$345.26 |
| 83655 |
|
52 |
39 |
$143.32 |
| 90686 |
|
3,058 |
3,019 |
$135.22 |
| 85018 |
|
523 |
481 |
$6.78 |
| 90670 |
|
303 |
280 |
$0.35 |
| 90723 |
|
100 |
92 |
$0.15 |
| 90647 |
|
55 |
55 |
$0.12 |
| 90681 |
|
27 |
26 |
$0.08 |
| 90648 |
|
45 |
42 |
$0.01 |
| 90685 |
|
17 |
17 |
$0.01 |
| 91307 |
|
162 |
156 |
$0.00 |
| 90651 |
|
43 |
41 |
$0.00 |
| 99000 |
|
111 |
110 |
$0.00 |
| 90680 |
|
13 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
18 |
$0.00 |
| 90633 |
|
19 |
14 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90461 |
|
18 |
13 |
$0.00 |