| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,543 |
11,447 |
$1.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,392 |
11,891 |
$703K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
938 |
898 |
$193K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,064 |
2,742 |
$154K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,449 |
2,114 |
$121K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,725 |
1,584 |
$87K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,494 |
1,440 |
$62K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,308 |
3,995 |
$52K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,496 |
2,341 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
493 |
445 |
$35K |
| 90670 |
|
1,810 |
1,550 |
$32K |
| 90461 |
|
641 |
593 |
$23K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
856 |
812 |
$22K |
| 92551 |
|
3,221 |
2,969 |
$14K |
| 90648 |
|
841 |
698 |
$13K |
| 90680 |
|
769 |
679 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
229 |
210 |
$12K |
| 90633 |
|
672 |
598 |
$11K |
| 99173 |
|
3,156 |
2,904 |
$11K |
| 90686 |
|
531 |
481 |
$9K |
| 90698 |
|
328 |
302 |
$6K |
| 87807 |
|
546 |
503 |
$5K |
| 90723 |
|
304 |
256 |
$5K |
| 99000 |
|
1,651 |
1,432 |
$4K |
| 90688 |
|
221 |
214 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
129 |
118 |
$4K |
| G0312 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) |
109 |
97 |
$1K |
| 90710 |
|
91 |
59 |
$1K |
| 90696 |
|
81 |
50 |
$989.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
89 |
83 |
$640.00 |
| 90744 |
|
31 |
29 |
$554.12 |
| 90685 |
|
27 |
25 |
$494.75 |
| 99177 |
|
28 |
28 |
$321.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$292.79 |
| 90671 |
|
12 |
12 |
$237.48 |
| 90707 |
|
23 |
13 |
$237.48 |
| 90716 |
|
22 |
12 |
$217.69 |
| 90700 |
|
23 |
12 |
$217.69 |
| 96127 |
|
29 |
25 |
$71.22 |
| 94760 |
|
14 |
14 |
$0.00 |
| 99401 |
|
13 |
12 |
$0.00 |