| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,337 |
6,263 |
$339K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,484 |
4,765 |
$145K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,448 |
2,260 |
$137K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,848 |
1,726 |
$106K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,750 |
1,606 |
$101K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,268 |
1,170 |
$73K |
| 90686 |
|
2,161 |
2,049 |
$23K |
| 99215 |
Prolong outpt/office vis |
589 |
499 |
$23K |
| 90698 |
|
1,365 |
1,284 |
$17K |
| 90670 |
|
1,278 |
1,209 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,266 |
1,141 |
$14K |
| 96160 |
|
6,600 |
6,040 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
675 |
609 |
$10K |
| 90680 |
|
552 |
521 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
429 |
374 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
571 |
535 |
$5K |
| 90633 |
|
353 |
327 |
$4K |
| 90744 |
|
317 |
280 |
$4K |
| 90651 |
|
215 |
208 |
$3K |
| 90734 |
|
161 |
161 |
$3K |
| 90656 |
|
109 |
108 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
933 |
841 |
$2K |
| 96127 |
|
685 |
585 |
$2K |
| 90715 |
|
28 |
28 |
$573.82 |
| 90621 |
|
24 |
24 |
$419.33 |
| 90696 |
|
26 |
26 |
$331.05 |
| 90710 |
|
45 |
45 |
$331.05 |
| 90716 |
|
31 |
27 |
$286.91 |
| 90707 |
|
31 |
27 |
$286.91 |
| 90685 |
|
240 |
208 |
$220.70 |
| 90619 |
|
15 |
13 |
$142.35 |
| 99381 |
|
13 |
12 |
$111.03 |
| 90677 |
|
56 |
49 |
$44.14 |
| 87807 |
|
32 |
31 |
$38.52 |
| 99000 |
|
43 |
36 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,276 |
5,762 |
$0.00 |
| 90461 |
|
3,132 |
2,888 |
$0.00 |
| 99421 |
|
14 |
14 |
$0.00 |