| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,282 |
3,664 |
$221K |
| 99215 |
Prolong outpt/office vis |
778 |
664 |
$67K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,771 |
3,436 |
$63K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
688 |
644 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
735 |
671 |
$26K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
617 |
506 |
$20K |
| 92552 |
|
1,821 |
1,643 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
670 |
592 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
292 |
270 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
988 |
837 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
184 |
157 |
$8K |
| 90461 |
|
560 |
513 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
147 |
128 |
$6K |
| 0071A |
|
103 |
99 |
$4K |
| 0072A |
|
94 |
93 |
$4K |
| 0002A |
|
83 |
83 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
34 |
$3K |
| 99401 |
|
156 |
154 |
$3K |
| 0001A |
|
66 |
66 |
$3K |
| 99201 |
|
44 |
43 |
$2K |
| 90686 |
|
993 |
844 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
38 |
$2K |
| 96127 |
|
611 |
530 |
$1K |
| 0003A |
|
32 |
31 |
$1K |
| 0154A |
|
25 |
25 |
$920.00 |
| 0124A |
|
19 |
19 |
$760.00 |
| 0073A |
|
15 |
15 |
$600.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
12 |
$219.06 |
| 90480 |
|
18 |
12 |
$144.00 |
| 90656 |
|
172 |
161 |
$51.07 |
| 99000 |
|
1,070 |
932 |
$7.14 |
| 90651 |
|
19 |
15 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 91300 |
|
202 |
181 |
$0.00 |
| 99173 |
|
1,136 |
904 |
$0.00 |
| 90734 |
|
22 |
16 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |