| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,510 |
7,738 |
$555K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,254 |
3,545 |
$355K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,974 |
4,227 |
$195K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,338 |
1,936 |
$177K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,005 |
1,780 |
$174K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
939 |
841 |
$84K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,814 |
2,355 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
551 |
506 |
$52K |
| 90461 |
|
1,291 |
1,078 |
$40K |
| 99058 |
|
1,128 |
962 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
295 |
262 |
$11K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
180 |
132 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
348 |
274 |
$7K |
| 92567 |
|
604 |
506 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
29 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
665 |
542 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
30 |
24 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
600 |
526 |
$4K |
| 94760 |
|
1,427 |
1,178 |
$2K |
| 99235 |
|
16 |
12 |
$1K |
| 86403 |
|
234 |
208 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
18 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
27 |
$491.96 |
| 90671 |
|
568 |
454 |
$449.78 |
| 88720 |
|
112 |
67 |
$213.64 |
| 96127 |
|
81 |
58 |
$211.41 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21 |
14 |
$103.60 |
| 90698 |
|
895 |
776 |
$88.88 |
| 96160 |
|
75 |
49 |
$88.59 |
| 90686 |
|
719 |
608 |
$41.06 |
| 90744 |
|
457 |
396 |
$0.00 |
| 90680 |
|
1,168 |
999 |
$0.00 |
| 90697 |
|
567 |
466 |
$0.00 |
| 90651 |
|
53 |
50 |
$0.00 |
| 90696 |
|
46 |
44 |
$0.00 |
| 90619 |
|
101 |
78 |
$0.00 |
| 90633 |
|
576 |
502 |
$0.00 |
| 90670 |
|
1,283 |
1,112 |
$0.00 |
| 90710 |
|
352 |
329 |
$0.00 |
| 90734 |
|
144 |
133 |
$0.00 |
| 90715 |
|
77 |
60 |
$0.00 |
| 90700 |
|
45 |
36 |
$0.00 |
| 90685 |
|
28 |
28 |
$0.00 |
| 90648 |
|
15 |
13 |
$0.00 |