| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,823 |
4,949 |
$469K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,140 |
6,960 |
$452K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,427 |
1,359 |
$106K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,199 |
998 |
$77K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,015 |
947 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
439 |
396 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,692 |
872 |
$22K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
715 |
615 |
$21K |
| 92551 |
|
2,233 |
2,086 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,949 |
1,825 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,149 |
1,074 |
$15K |
| 90686 |
|
1,427 |
1,311 |
$14K |
| 90670 |
|
708 |
648 |
$13K |
| 90651 |
|
231 |
210 |
$10K |
| 96127 |
|
1,283 |
1,171 |
$9K |
| 81002 |
|
2,926 |
2,697 |
$8K |
| 90698 |
|
422 |
374 |
$6K |
| 99173 |
|
2,690 |
2,534 |
$6K |
| 90677 |
|
111 |
108 |
$6K |
| 85018 |
|
1,813 |
1,712 |
$4K |
| 90619 |
|
86 |
64 |
$3K |
| 90680 |
|
215 |
196 |
$3K |
| 90716 |
|
188 |
170 |
$3K |
| 90734 |
|
98 |
96 |
$3K |
| 90633 |
|
226 |
195 |
$3K |
| 90707 |
|
176 |
158 |
$2K |
| 90744 |
|
111 |
101 |
$1K |
| 90715 |
|
74 |
58 |
$765.93 |
| 87807 |
|
80 |
57 |
$723.80 |
| 92552 |
|
29 |
29 |
$711.18 |
| 90685 |
|
53 |
47 |
$594.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
71 |
60 |
$166.30 |
| 86580 |
|
14 |
14 |
$106.34 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
224 |
215 |
$84.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
133 |
110 |
$69.15 |