| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,162 |
3,848 |
$350K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,604 |
5,289 |
$347K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
987 |
977 |
$85K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,667 |
2,583 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
742 |
726 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
658 |
654 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
693 |
628 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,229 |
4,079 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,074 |
1,047 |
$42K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
869 |
831 |
$41K |
| 99215 |
Prolong outpt/office vis |
275 |
264 |
$29K |
| 92551 |
|
2,384 |
2,358 |
$22K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,154 |
2,079 |
$20K |
| 99173 |
|
925 |
921 |
$20K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
172 |
168 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
439 |
438 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
211 |
206 |
$6K |
| 85018 |
|
2,628 |
2,614 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
227 |
215 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
457 |
449 |
$5K |
| 99051 |
|
229 |
224 |
$4K |
| 96127 |
|
676 |
629 |
$4K |
| 90461 |
|
131 |
130 |
$3K |
| 87634 |
|
33 |
31 |
$2K |
| 69210 |
|
17 |
17 |
$623.04 |
| 87400 |
|
44 |
44 |
$448.54 |
| 94760 |
|
117 |
110 |
$290.95 |
| 81003 |
|
116 |
111 |
$215.08 |
| 99441 |
|
13 |
13 |
$130.68 |
| 99177 |
|
80 |
80 |
$84.00 |
| 99000 |
|
231 |
223 |
$14.00 |
| 90670 |
|
99 |
88 |
$0.00 |
| 90658 |
|
510 |
507 |
$0.00 |
| 90648 |
|
78 |
78 |
$0.00 |
| 99072 |
|
125 |
120 |
$0.00 |
| 90649 |
|
53 |
53 |
$0.00 |
| 90734 |
|
57 |
56 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 36416 |
|
180 |
176 |
$0.00 |
| 90686 |
|
478 |
475 |
$0.00 |
| 90657 |
|
12 |
12 |
$0.00 |