| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,154 |
4,874 |
$487K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,587 |
6,172 |
$469K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,072 |
1,072 |
$100K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
924 |
916 |
$80K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,509 |
3,474 |
$64K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,530 |
1,530 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
344 |
344 |
$32K |
| 99215 |
Prolong outpt/office vis |
166 |
152 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
396 |
395 |
$19K |
| 92587 |
|
806 |
802 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
129 |
129 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
94 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
133 |
132 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
216 |
213 |
$10K |
| 99205 |
Prolong outpt/office vis |
30 |
30 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
573 |
573 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
125 |
124 |
$4K |
| 90474 |
|
188 |
188 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
44 |
44 |
$2K |
| 0001A |
|
45 |
45 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
51 |
51 |
$1K |
| 0002A |
|
37 |
37 |
$1K |
| 83655 |
|
122 |
122 |
$1K |
| 96127 |
|
295 |
289 |
$1K |
| 96161 |
|
229 |
213 |
$1K |
| 96381 |
|
13 |
13 |
$225.50 |
| 90686 |
|
938 |
938 |
$166.75 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$90.48 |
| 85018 |
|
26 |
26 |
$54.86 |
| 90677 |
|
208 |
208 |
$0.16 |
| 90681 |
|
141 |
141 |
$0.03 |
| 90656 |
|
117 |
117 |
$0.03 |
| 90633 |
|
119 |
119 |
$0.00 |
| 90648 |
|
585 |
585 |
$0.00 |
| 96160 |
|
43 |
43 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90670 |
|
421 |
421 |
$0.00 |
| 90723 |
|
414 |
414 |
$0.00 |
| 90680 |
|
165 |
165 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |