| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,717 |
3,493 |
$308K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,273 |
3,139 |
$187K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,663 |
1,610 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,060 |
1,060 |
$73K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,853 |
1,838 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,000 |
3,850 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
239 |
239 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
621 |
485 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
309 |
281 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
321 |
312 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
86 |
$6K |
| 99383 |
|
66 |
66 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
42 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
762 |
730 |
$3K |
| 87807 |
|
176 |
168 |
$2K |
| 99382 |
|
25 |
25 |
$2K |
| 83655 |
|
98 |
98 |
$1K |
| 90671 |
|
510 |
510 |
$1K |
| 96127 |
|
174 |
174 |
$732.91 |
| 85018 |
|
84 |
84 |
$157.56 |
| 90473 |
|
37 |
37 |
$103.88 |
| 99051 |
|
12 |
12 |
$79.28 |
| 90461 |
|
360 |
359 |
$31.95 |
| 94760 |
|
85 |
73 |
$1.20 |
| 90697 |
|
281 |
281 |
$0.00 |
| 90680 |
|
229 |
229 |
$0.00 |
| 90686 |
|
32 |
32 |
$0.00 |
| 90674 |
|
68 |
68 |
$0.00 |
| 90670 |
|
119 |
119 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |