| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,952 |
6,941 |
$671K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,462 |
3,364 |
$109K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,151 |
2,083 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
931 |
883 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
493 |
475 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
400 |
397 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
405 |
390 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
292 |
274 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
107 |
102 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
437 |
423 |
$5K |
| 81003 |
|
1,537 |
1,465 |
$4K |
| 94760 |
|
1,581 |
1,439 |
$3K |
| 96127 |
|
744 |
675 |
$2K |
| 99173 |
|
1,213 |
1,005 |
$2K |
| 90686 |
|
759 |
736 |
$746.67 |
| 92552 |
|
28 |
25 |
$601.41 |
| 96160 |
|
87 |
84 |
$108.50 |
| 90688 |
|
90 |
90 |
$61.57 |
| 90685 |
|
71 |
71 |
$40.00 |
| 90674 |
|
182 |
172 |
$15.43 |
| 90651 |
|
32 |
29 |
$0.00 |
| 90698 |
|
29 |
29 |
$0.00 |
| 90670 |
|
123 |
113 |
$0.00 |
| 90734 |
|
28 |
28 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |