| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,217 |
4,053 |
$325K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,734 |
5,244 |
$288K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,251 |
3,165 |
$266K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,271 |
2,936 |
$241K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,935 |
1,901 |
$175K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,819 |
5,594 |
$138K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,264 |
5,057 |
$130K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,809 |
2,645 |
$99K |
| 90461 |
|
4,493 |
3,619 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
659 |
317 |
$8K |
| 99460 |
|
127 |
119 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
466 |
454 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
569 |
558 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
44 |
44 |
$3K |
| 87807 |
|
243 |
225 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$524.70 |
| 81003 |
|
226 |
215 |
$420.11 |
| 90697 |
|
498 |
495 |
$0.69 |
| 90677 |
|
314 |
314 |
$0.37 |
| 90700 |
|
466 |
451 |
$0.00 |
| 90670 |
|
2,036 |
1,933 |
$0.00 |
| 90715 |
|
91 |
90 |
$0.00 |
| 90710 |
|
1,048 |
1,001 |
$0.00 |
| 90633 |
|
1,318 |
1,275 |
$0.00 |
| 90734 |
|
284 |
281 |
$0.00 |
| 90621 |
|
40 |
40 |
$0.00 |
| 90685 |
|
63 |
59 |
$0.00 |
| 90707 |
|
29 |
29 |
$0.00 |
| 90680 |
|
1,597 |
1,521 |
$0.00 |
| 90698 |
|
452 |
428 |
$0.00 |
| 90651 |
|
407 |
402 |
$0.00 |
| 90686 |
|
428 |
419 |
$0.00 |
| 90647 |
|
1,178 |
1,114 |
$0.00 |
| 90723 |
|
706 |
660 |
$0.00 |
| 90696 |
|
287 |
270 |
$0.00 |
| 90716 |
|
31 |
31 |
$0.00 |