| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,458 |
2,159 |
$227K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,605 |
2,247 |
$161K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,752 |
1,738 |
$140K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
888 |
873 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
769 |
768 |
$72K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,343 |
2,124 |
$65K |
| G9153 |
Mapcp demonstration - physician incentive pool |
739 |
739 |
$52K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
864 |
783 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,848 |
1,709 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
663 |
627 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
194 |
194 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
147 |
147 |
$13K |
| 87807 |
|
1,033 |
941 |
$12K |
| 99381 |
|
28 |
27 |
$3K |
| 90461 |
|
130 |
99 |
$2K |
| 96127 |
|
264 |
263 |
$2K |
| 0072A |
|
16 |
16 |
$336.00 |
| 0071A |
|
14 |
14 |
$294.00 |
| 94664 |
|
14 |
14 |
$178.08 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$128.06 |
| 90670 |
|
322 |
322 |
$0.00 |
| 90671 |
|
98 |
98 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90633 |
|
26 |
26 |
$0.00 |
| 90680 |
|
376 |
376 |
$0.00 |
| 90723 |
|
409 |
407 |
$0.00 |
| 90647 |
|
360 |
359 |
$0.00 |
| 90688 |
|
14 |
14 |
$0.00 |
| 90677 |
|
91 |
91 |
$0.00 |
| 90716 |
|
39 |
39 |
$0.00 |