| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,304 |
1,941 |
$137K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,909 |
1,658 |
$76K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,230 |
823 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
306 |
278 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
243 |
221 |
$16K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
338 |
301 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
860 |
657 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
109 |
94 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
624 |
289 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
285 |
226 |
$6K |
| 87428 |
|
120 |
99 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
86 |
84 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
554 |
474 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
702 |
545 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
60 |
$4K |
| 83655 |
|
235 |
230 |
$3K |
| 92551 |
|
465 |
385 |
$2K |
| 99173 |
|
502 |
420 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
13 |
$1K |
| 36416 |
|
821 |
661 |
$759.62 |
| 99401 |
|
92 |
77 |
$653.89 |
| 99188 |
|
216 |
198 |
$501.60 |
| 90686 |
|
91 |
74 |
$430.73 |
| 96161 |
|
45 |
37 |
$386.98 |
| 96127 |
|
76 |
60 |
$320.53 |
| 87420 |
|
32 |
27 |
$310.94 |
| 90461 |
|
367 |
295 |
$218.16 |
| 90716 |
|
13 |
12 |
$181.02 |
| 90656 |
|
13 |
12 |
$128.80 |
| 90707 |
|
13 |
12 |
$104.33 |
| 90670 |
|
90 |
75 |
$0.00 |
| 90723 |
|
26 |
25 |
$0.00 |
| 90647 |
|
40 |
39 |
$0.00 |
| 90677 |
|
38 |
37 |
$0.00 |