| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,390 |
6,779 |
$820K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,541 |
3,887 |
$323K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,611 |
4,087 |
$198K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
395 |
346 |
$49K |
| 96127 |
|
1,668 |
1,516 |
$31K |
| 99401 |
|
942 |
875 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,301 |
1,206 |
$25K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
386 |
364 |
$17K |
| 92552 |
|
1,351 |
1,267 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
116 |
104 |
$14K |
| 94760 |
|
7,459 |
6,453 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
81 |
80 |
$10K |
| 99173 |
|
1,464 |
1,376 |
$10K |
| 36416 |
|
2,328 |
2,121 |
$7K |
| 96161 |
|
311 |
273 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
511 |
239 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
68 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
24 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
217 |
187 |
$2K |
| 96160 |
|
102 |
90 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$2K |
| 99177 |
|
28 |
26 |
$520.00 |
| 90686 |
|
1,892 |
1,632 |
$378.71 |
| 99051 |
|
14 |
13 |
$77.00 |
| 85018 |
|
499 |
453 |
$9.04 |
| 90670 |
|
49 |
49 |
$0.00 |
| 90685 |
|
21 |
18 |
$0.00 |
| 90461 |
|
58 |
41 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |