| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,024 |
9,110 |
$1.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,404 |
7,010 |
$528K |
| 99199 |
Unlisted special service, procedure or report |
90,402 |
47,401 |
$497K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,640 |
4,701 |
$205K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
872 |
752 |
$80K |
| 99051 |
|
2,992 |
2,767 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
542 |
409 |
$48K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,027 |
795 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
360 |
285 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,361 |
1,189 |
$25K |
| 99070 |
|
2,824 |
2,420 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,612 |
1,236 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
291 |
251 |
$11K |
| 0071A |
|
191 |
150 |
$10K |
| 96127 |
|
1,855 |
1,428 |
$9K |
| 92551 |
|
3,777 |
3,223 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
579 |
369 |
$8K |
| 99215 |
Prolong outpt/office vis |
62 |
51 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
70 |
64 |
$7K |
| 0072A |
|
94 |
82 |
$6K |
| 90480 |
|
124 |
106 |
$5K |
| 90686 |
|
3,991 |
3,343 |
$4K |
| 99173 |
|
4,129 |
3,510 |
$2K |
| 0001A |
|
30 |
27 |
$2K |
| 90461 |
|
461 |
331 |
$1K |
| 0154A |
|
14 |
12 |
$910.00 |
| 96160 |
|
253 |
168 |
$715.41 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
42 |
$632.39 |
| 85018 |
|
290 |
198 |
$449.46 |
| 94760 |
|
619 |
488 |
$266.49 |
| 91307 |
|
354 |
284 |
$113.12 |
| 91319 |
|
16 |
13 |
$79.32 |
| 82465 |
|
13 |
13 |
$67.56 |
| 90661 |
|
357 |
327 |
$65.44 |
| 36416 |
|
582 |
449 |
$50.56 |
| 99000 |
|
5,832 |
4,339 |
$15.20 |
| 99177 |
|
21 |
12 |
$7.83 |
| 1003F |
|
112 |
91 |
$0.00 |
| 99072 |
|
325 |
311 |
$0.00 |
| 90670 |
|
41 |
37 |
$0.00 |
| 90685 |
|
27 |
27 |
$0.00 |
| 91300 |
|
141 |
114 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,170 |
3,217 |
$0.00 |
| 91315 |
|
14 |
12 |
$0.00 |