| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,041 |
2,600 |
$156K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,019 |
945 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,708 |
1,584 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
722 |
721 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,469 |
1,583 |
$40K |
| 99000 |
|
2,369 |
2,106 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,234 |
1,158 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
172 |
170 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
932 |
447 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
307 |
291 |
$7K |
| 90461 |
|
4,846 |
1,139 |
$6K |
| 92551 |
|
804 |
794 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
409 |
361 |
$3K |
| 99383 |
|
22 |
20 |
$2K |
| 87807 |
|
158 |
148 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
153 |
153 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$990.77 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$979.40 |
| 87430 |
|
82 |
75 |
$947.17 |
| 96160 |
|
65 |
64 |
$60.98 |
| 90697 |
|
388 |
383 |
$1.10 |
| 90677 |
|
242 |
239 |
$0.51 |
| 90619 |
|
14 |
14 |
$0.06 |
| 90661 |
|
36 |
36 |
$0.01 |
| 90686 |
|
199 |
198 |
$0.00 |
| 90680 |
|
173 |
165 |
$0.00 |
| 90698 |
|
69 |
64 |
$0.00 |
| 36416 |
|
174 |
155 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 99173 |
|
607 |
598 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
133 |
129 |
$0.00 |
| 90633 |
|
158 |
158 |
$0.00 |
| 90670 |
|
453 |
443 |
$0.00 |
| 90681 |
|
65 |
65 |
$0.00 |
| 90710 |
|
63 |
62 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |