| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,264 |
7,814 |
$340K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,210 |
2,926 |
$189K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,515 |
3,242 |
$109K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,006 |
954 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,094 |
1,017 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
797 |
776 |
$60K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,767 |
1,614 |
$48K |
| 90461 |
|
1,352 |
1,282 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
389 |
368 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,422 |
1,298 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,306 |
657 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
473 |
437 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
533 |
399 |
$12K |
| 90670 |
|
801 |
751 |
$8K |
| 99215 |
Prolong outpt/office vis |
98 |
80 |
$8K |
| 96127 |
|
2,154 |
2,010 |
$7K |
| 90686 |
|
785 |
671 |
$3K |
| 90698 |
|
555 |
523 |
$3K |
| 99051 |
|
363 |
332 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
129 |
112 |
$2K |
| 83655 |
|
149 |
143 |
$2K |
| 90716 |
|
221 |
216 |
$1K |
| 90707 |
|
141 |
139 |
$1K |
| 90473 |
|
82 |
78 |
$1K |
| 90633 |
|
808 |
762 |
$1K |
| 99050 |
|
43 |
40 |
$850.00 |
| 90680 |
|
353 |
328 |
$686.70 |
| 92552 |
|
57 |
55 |
$685.44 |
| 94760 |
|
824 |
679 |
$365.00 |
| 90734 |
|
114 |
111 |
$234.82 |
| 90700 |
|
27 |
27 |
$164.29 |
| 90744 |
|
172 |
162 |
$155.22 |
| 82465 |
|
53 |
39 |
$132.48 |
| 86308 |
|
40 |
26 |
$104.33 |
| 90672 |
|
213 |
204 |
$98.40 |
| 90685 |
|
149 |
133 |
$96.22 |
| 85013 |
|
40 |
27 |
$74.65 |
| 90715 |
|
56 |
55 |
$63.68 |
| 81002 |
|
43 |
42 |
$36.10 |
| 94761 |
|
23 |
13 |
$33.62 |
| Q3014 |
Telehealth originating site facility fee |
341 |
302 |
$12.50 |
| 90696 |
|
25 |
24 |
$0.00 |
| 1005F |
|
25 |
24 |
$0.00 |