| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,090 |
10,742 |
$842K |
| 99215 |
Prolong outpt/office vis |
3,597 |
3,215 |
$327K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,454 |
4,099 |
$242K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,697 |
1,679 |
$113K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,637 |
1,533 |
$106K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,488 |
1,466 |
$92K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,007 |
996 |
$63K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,579 |
2,463 |
$58K |
| 92551 |
|
4,088 |
3,994 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,450 |
2,173 |
$31K |
| 90670 |
|
986 |
966 |
$24K |
| 90651 |
|
552 |
539 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,029 |
1,920 |
$19K |
| 96127 |
|
4,286 |
3,777 |
$16K |
| 90677 |
|
258 |
243 |
$13K |
| 90698 |
|
753 |
732 |
$13K |
| 90619 |
|
283 |
280 |
$12K |
| 90680 |
|
515 |
497 |
$9K |
| 81002 |
|
3,807 |
3,673 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
794 |
752 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,344 |
4,119 |
$7K |
| 99173 |
|
3,142 |
3,069 |
$6K |
| 90688 |
|
513 |
503 |
$5K |
| 90672 |
|
435 |
433 |
$5K |
| 99000 |
|
2,023 |
1,933 |
$5K |
| 90715 |
|
382 |
371 |
$4K |
| 90633 |
|
391 |
387 |
$4K |
| 0072A |
|
75 |
74 |
$3K |
| 90744 |
|
286 |
271 |
$3K |
| 90734 |
|
123 |
119 |
$3K |
| 90461 |
|
1,973 |
1,896 |
$3K |
| 0071A |
|
59 |
59 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
433 |
417 |
$2K |
| 90710 |
|
65 |
63 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
193 |
174 |
$1K |
| 87807 |
|
129 |
123 |
$1K |
| 99383 |
|
12 |
12 |
$746.30 |
| 90687 |
|
78 |
78 |
$720.71 |
| 90696 |
|
31 |
31 |
$304.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$256.62 |
| 90700 |
|
18 |
18 |
$197.50 |
| 96161 |
|
124 |
107 |
$150.48 |
| 90685 |
|
12 |
12 |
$132.00 |
| 94760 |
|
52 |
49 |
$63.24 |
| 96160 |
|
31 |
28 |
$48.64 |
| 36416 |
|
26 |
25 |
$2.07 |
| 84439 |
|
29 |
28 |
$0.00 |