| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,322 |
1,140 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
588 |
574 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,225 |
1,109 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
454 |
442 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
400 |
367 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
307 |
296 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,941 |
1,596 |
$23K |
| 99429 |
|
587 |
574 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
476 |
452 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
818 |
644 |
$6K |
| 90461 |
|
769 |
709 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
250 |
233 |
$3K |
| 85018 |
|
543 |
530 |
$1K |
| 83655 |
|
96 |
96 |
$994.40 |
| 96161 |
|
227 |
223 |
$513.42 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
36 |
$509.76 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$453.48 |
| 90734 |
|
53 |
53 |
$0.01 |
| 90707 |
|
117 |
116 |
$0.01 |
| 90686 |
|
534 |
534 |
$0.01 |
| 90716 |
|
128 |
127 |
$0.01 |
| 90670 |
|
324 |
323 |
$0.00 |
| 90648 |
|
37 |
37 |
$0.00 |
| 90633 |
|
122 |
119 |
$0.00 |
| 90698 |
|
114 |
113 |
$0.00 |
| 90680 |
|
120 |
120 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |