| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,209 |
4,939 |
$282K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,319 |
2,298 |
$210K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,695 |
1,642 |
$162K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,015 |
1,912 |
$159K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,523 |
3,379 |
$125K |
| 99215 |
Prolong outpt/office vis |
1,092 |
1,075 |
$88K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
990 |
988 |
$81K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,653 |
2,607 |
$7K |
| 90649 |
|
112 |
111 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
106 |
99 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,927 |
2,874 |
$6K |
| 99381 |
|
73 |
72 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
935 |
905 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
855 |
824 |
$3K |
| 99383 |
|
37 |
35 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
828 |
805 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
103 |
103 |
$1K |
| 87807 |
|
325 |
317 |
$693.23 |
| 90658 |
|
165 |
165 |
$550.96 |
| 90723 |
|
88 |
87 |
$233.76 |
| 90670 |
|
243 |
241 |
$162.76 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
57 |
57 |
$48.35 |
| 90648 |
|
249 |
246 |
$40.00 |
| 81003 |
|
38 |
37 |
$23.79 |
| G9920 |
Screening performed and negative |
18 |
17 |
$0.00 |
| 96127 |
|
39 |
36 |
$0.00 |