| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,023 |
20,374 |
$1.31M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,918 |
9,187 |
$354K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,715 |
2,676 |
$208K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
5,247 |
4,715 |
$204K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15,160 |
6,963 |
$204K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,319 |
2,297 |
$189K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,406 |
2,216 |
$178K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,386 |
6,912 |
$161K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,384 |
1,369 |
$120K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,487 |
7,788 |
$113K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
559 |
546 |
$78K |
| 87807 |
|
7,256 |
6,634 |
$77K |
| 90461 |
|
7,681 |
3,911 |
$25K |
| 92587 |
|
2,192 |
2,154 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
179 |
179 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,752 |
1,250 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
208 |
206 |
$12K |
| 99381 |
|
115 |
113 |
$9K |
| 99442 |
|
191 |
181 |
$7K |
| 99383 |
|
71 |
71 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
219 |
204 |
$5K |
| 99384 |
|
53 |
50 |
$5K |
| 99050 |
|
269 |
262 |
$4K |
| 99382 |
|
30 |
30 |
$3K |
| 69210 |
|
411 |
405 |
$3K |
| 90677 |
|
526 |
522 |
$2K |
| 90619 |
|
370 |
368 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$809.03 |
| 86580 |
|
73 |
73 |
$535.68 |
| 90670 |
|
1,634 |
1,606 |
$87.72 |
| 90710 |
|
985 |
973 |
$87.54 |
| 81002 |
|
28 |
25 |
$75.92 |
| 84030 |
|
29 |
27 |
$69.30 |
| 90633 |
|
1,081 |
1,066 |
$24.53 |
| 90697 |
|
637 |
632 |
$3.08 |
| 90686 |
|
1,704 |
1,701 |
$1.70 |
| 90734 |
|
184 |
181 |
$0.29 |
| 90621 |
|
151 |
150 |
$0.27 |
| 90651 |
|
538 |
534 |
$0.21 |
| 90715 |
|
238 |
235 |
$0.16 |
| 90680 |
|
1,048 |
1,031 |
$0.13 |
| 90744 |
|
304 |
289 |
$0.11 |
| 90696 |
|
296 |
293 |
$0.00 |
| 90698 |
|
551 |
529 |
$0.00 |
| 90656 |
|
110 |
110 |
$0.00 |
| 90648 |
|
124 |
124 |
$0.00 |
| 90700 |
|
170 |
167 |
$0.00 |