| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,469 |
13,600 |
$506K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,957 |
2,496 |
$199K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,454 |
6,021 |
$184K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,155 |
4,913 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,520 |
1,193 |
$95K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
716 |
591 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
999 |
802 |
$20K |
| 90461 |
|
535 |
340 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
81 |
68 |
$5K |
| 99215 |
Prolong outpt/office vis |
154 |
110 |
$2K |
| 99442 |
|
162 |
110 |
$2K |
| 99443 |
|
158 |
121 |
$2K |
| 99072 |
|
45 |
43 |
$799.20 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$409.82 |
| 99173 |
|
64 |
53 |
$355.54 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
37 |
$308.49 |
| 90688 |
|
51 |
41 |
$110.00 |
| 85018 |
|
46 |
38 |
$36.83 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
25 |
$34.85 |
| 85027 |
|
100 |
99 |
$34.71 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
47 |
43 |
$12.77 |
| 1126F |
|
1,656 |
1,386 |
$0.23 |
| 90648 |
|
57 |
54 |
$0.00 |
| 90670 |
|
41 |
12 |
$0.00 |
| 90686 |
|
441 |
415 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
61 |
50 |
$0.00 |
| 1220F |
|
74 |
52 |
$0.00 |