| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,077 |
4,567 |
$512K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,103 |
4,563 |
$346K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,265 |
1,242 |
$126K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,232 |
1,168 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,104 |
1,083 |
$110K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,101 |
3,957 |
$105K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
776 |
768 |
$83K |
| 90461 |
|
1,436 |
1,406 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,058 |
1,006 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
294 |
281 |
$12K |
| 86328 |
|
202 |
200 |
$9K |
| 81003 |
|
3,302 |
3,187 |
$8K |
| 83655 |
|
512 |
494 |
$6K |
| G9153 |
Mapcp demonstration - physician incentive pool |
139 |
138 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
13 |
$2K |
| 85018 |
|
762 |
737 |
$2K |
| 99215 |
Prolong outpt/office vis |
16 |
14 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
44 |
$719.55 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
27 |
$537.10 |
| 36415 |
Collection of venous blood by venipuncture |
161 |
148 |
$393.02 |
| 87807 |
|
27 |
27 |
$334.39 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$154.87 |
| 90656 |
|
788 |
768 |
$40.32 |
| 90655 |
|
81 |
79 |
$0.01 |
| 90723 |
|
141 |
136 |
$0.00 |
| 90716 |
|
31 |
29 |
$0.00 |
| 90633 |
|
217 |
211 |
$0.00 |
| 90648 |
|
362 |
352 |
$0.00 |
| 90670 |
|
379 |
370 |
$0.00 |
| 90649 |
|
136 |
133 |
$0.00 |
| 90681 |
|
26 |
24 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90707 |
|
33 |
31 |
$0.00 |