| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,475 |
13,893 |
$1.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,480 |
16,241 |
$1.08M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,019 |
3,005 |
$247K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,704 |
2,662 |
$203K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,220 |
2,207 |
$176K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,642 |
6,589 |
$136K |
| 92587 |
|
5,159 |
5,131 |
$128K |
| 99051 |
|
8,736 |
7,659 |
$119K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
925 |
924 |
$78K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,375 |
1,235 |
$55K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,521 |
742 |
$21K |
| 99177 |
|
3,116 |
3,107 |
$19K |
| 85018 |
|
7,865 |
7,825 |
$18K |
| 99173 |
|
3,745 |
3,732 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,317 |
2,213 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
75 |
$9K |
| 90461 |
|
986 |
982 |
$9K |
| 83655 |
|
745 |
740 |
$9K |
| 96127 |
|
1,815 |
1,812 |
$7K |
| 99215 |
Prolong outpt/office vis |
52 |
51 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
58 |
$4K |
| 0071A |
|
112 |
112 |
$4K |
| 0072A |
|
100 |
100 |
$4K |
| 99383 |
|
43 |
43 |
$4K |
| 90686 |
|
890 |
881 |
$4K |
| 90670 |
|
701 |
699 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
313 |
313 |
$2K |
| 0002A |
|
49 |
49 |
$2K |
| 99381 |
|
14 |
13 |
$1K |
| 90633 |
|
194 |
191 |
$960.53 |
| 0053A |
|
24 |
24 |
$960.00 |
| 90677 |
|
123 |
123 |
$848.73 |
| 99442 |
|
14 |
14 |
$731.86 |
| 90619 |
|
44 |
44 |
$618.78 |
| 0011A |
|
13 |
13 |
$520.00 |
| 0001A |
|
13 |
13 |
$520.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$453.05 |
| 90715 |
|
66 |
66 |
$248.77 |
| 90698 |
|
62 |
62 |
$192.01 |
| 90620 |
|
25 |
25 |
$160.00 |
| 90697 |
|
24 |
24 |
$90.03 |
| 90707 |
|
12 |
12 |
$80.00 |
| 90734 |
|
24 |
24 |
$80.00 |
| 36416 |
|
6,242 |
6,210 |
$77.02 |
| 90710 |
|
12 |
12 |
$60.00 |
| 90696 |
|
12 |
12 |
$60.00 |
| 90700 |
|
12 |
12 |
$40.00 |
| 90716 |
|
12 |
12 |
$40.00 |
| 81002 |
|
16 |
13 |
$28.28 |
| 91307 |
|
59 |
55 |
$0.03 |
| 90744 |
|
13 |
13 |
$0.02 |
| 91305 |
|
12 |
12 |
$0.01 |
| 91300 |
|
18 |
13 |
$0.00 |
| 90681 |
|
24 |
24 |
$0.00 |