| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,420 |
18,660 |
$1.71M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,383 |
11,908 |
$481K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,163 |
4,025 |
$334K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,901 |
4,605 |
$265K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,146 |
3,071 |
$252K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,187 |
2,888 |
$244K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,200 |
2,054 |
$190K |
| 99215 |
Prolong outpt/office vis |
1,692 |
1,599 |
$180K |
| 99401 |
|
6,514 |
5,661 |
$170K |
| 99381 |
|
536 |
531 |
$47K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,978 |
1,892 |
$40K |
| 90461 |
|
3,543 |
3,386 |
$37K |
| 99383 |
|
286 |
273 |
$25K |
| 94760 |
|
28,052 |
22,961 |
$22K |
| 99188 |
|
1,582 |
1,539 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,699 |
1,574 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
174 |
169 |
$18K |
| 0072A |
|
231 |
211 |
$17K |
| 0071A |
|
223 |
193 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,012 |
788 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
162 |
155 |
$15K |
| 99051 |
|
487 |
459 |
$14K |
| 90480 |
|
372 |
372 |
$9K |
| 0073A |
|
99 |
99 |
$8K |
| 0053A |
|
154 |
74 |
$6K |
| 99173 |
|
5,520 |
5,067 |
$6K |
| 0082A |
|
63 |
63 |
$5K |
| 0124A |
|
65 |
65 |
$5K |
| 99382 |
|
59 |
58 |
$5K |
| 96127 |
|
890 |
888 |
$4K |
| 0081A |
|
52 |
52 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
161 |
161 |
$4K |
| 92587 |
|
213 |
204 |
$4K |
| 90686 |
|
2,391 |
1,997 |
$4K |
| 0154A |
|
46 |
44 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
54 |
54 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
134 |
132 |
$2K |
| 90674 |
|
109 |
107 |
$2K |
| 90651 |
|
589 |
499 |
$2K |
| 0173A |
|
18 |
18 |
$2K |
| 99384 |
|
15 |
14 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
22 |
22 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
45 |
42 |
$756.56 |
| 90716 |
|
633 |
554 |
$316.02 |
| 90707 |
|
603 |
529 |
$265.35 |
| 90670 |
|
1,038 |
871 |
$220.82 |
| 85014 |
|
82 |
80 |
$220.70 |
| 90661 |
|
78 |
78 |
$187.95 |
| 36416 |
|
71 |
68 |
$13.91 |
| 90648 |
|
893 |
756 |
$0.00 |
| 90633 |
|
660 |
560 |
$0.00 |
| 90734 |
|
154 |
129 |
$0.00 |
| 90700 |
|
153 |
137 |
$0.00 |
| 91312 |
|
19 |
12 |
$0.00 |
| 90685 |
|
406 |
324 |
$0.00 |
| 91308 |
|
98 |
49 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 91320 |
|
22 |
21 |
$0.00 |
| 91307 |
|
154 |
127 |
$0.00 |
| 90723 |
|
535 |
439 |
$0.00 |
| 90680 |
|
812 |
680 |
$0.00 |
| 90698 |
|
89 |
73 |
$0.00 |
| 91319 |
|
43 |
42 |
$0.00 |
| 90696 |
|
95 |
79 |
$0.00 |
| 90619 |
|
44 |
39 |
$0.00 |
| 90677 |
|
181 |
178 |
$0.00 |
| 91315 |
|
26 |
14 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 91318 |
|
29 |
27 |
$0.00 |