| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,996 |
7,826 |
$813K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,444 |
3,611 |
$367K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,498 |
8,110 |
$350K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,386 |
3,292 |
$315K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,720 |
1,673 |
$159K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,254 |
2,066 |
$141K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,048 |
6,721 |
$130K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
692 |
640 |
$67K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,200 |
1,096 |
$21K |
| 99381 |
|
226 |
181 |
$20K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,897 |
1,621 |
$19K |
| Q3014 |
Telehealth originating site facility fee |
951 |
884 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,002 |
955 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
522 |
406 |
$12K |
| 99000 |
|
3,922 |
3,175 |
$9K |
| 94760 |
|
2,395 |
2,138 |
$6K |
| 36416 |
|
2,337 |
1,720 |
$5K |
| 96127 |
|
240 |
228 |
$4K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
151 |
133 |
$3K |
| 90670 |
|
570 |
560 |
$2K |
| 90461 |
|
2,150 |
2,089 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 85018 |
|
639 |
602 |
$2K |
| 99383 |
|
14 |
13 |
$1K |
| 90723 |
|
413 |
406 |
$716.91 |
| 90651 |
|
37 |
37 |
$546.74 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$542.76 |
| 90680 |
|
371 |
365 |
$315.94 |
| 90710 |
|
12 |
12 |
$282.64 |
| 90696 |
|
46 |
43 |
$262.24 |
| 90647 |
|
414 |
404 |
$227.86 |
| 81002 |
|
69 |
65 |
$222.70 |
| 90686 |
|
797 |
786 |
$113.46 |
| 90707 |
|
46 |
43 |
$98.95 |
| 90715 |
|
12 |
12 |
$92.66 |
| 90633 |
|
270 |
268 |
$81.17 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$32.60 |
| 90716 |
|
80 |
79 |
$0.00 |
| 90700 |
|
39 |
39 |
$0.00 |