| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,834 |
22,301 |
$1.66M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,319 |
3,743 |
$171K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,854 |
1,641 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,887 |
2,485 |
$139K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,811 |
1,440 |
$122K |
| 87428 |
|
780 |
738 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
496 |
442 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,854 |
1,751 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
264 |
243 |
$24K |
| 97802 |
|
2,514 |
2,172 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
99 |
94 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
583 |
276 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
438 |
406 |
$4K |
| 80305 |
|
2,232 |
1,486 |
$3K |
| 96161 |
|
1,021 |
761 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
25 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
182 |
171 |
$1K |
| 96127 |
|
338 |
310 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
163 |
121 |
$1K |
| 99173 |
|
1,537 |
1,262 |
$906.58 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
118 |
79 |
$828.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
31 |
$463.55 |
| 83655 |
|
40 |
39 |
$355.95 |
| 90670 |
|
995 |
906 |
$350.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
13 |
$269.41 |
| 85018 |
|
101 |
94 |
$256.12 |
| 87807 |
|
17 |
17 |
$234.09 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
40 |
27 |
$103.34 |
| 90677 |
|
123 |
99 |
$70.01 |
| 36416 |
|
138 |
122 |
$64.24 |
| 81002 |
|
55 |
41 |
$51.98 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
122 |
89 |
$24.92 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
8,217 |
5,314 |
$24.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
735 |
487 |
$0.00 |
| 90723 |
|
675 |
612 |
$0.00 |
| 90680 |
|
357 |
321 |
$0.00 |
| 3074F |
|
91 |
68 |
$0.00 |
| 1111F |
|
166 |
119 |
$0.00 |
| 90716 |
|
71 |
62 |
$0.00 |
| 90686 |
|
119 |
104 |
$0.00 |
| 90688 |
|
214 |
168 |
$0.00 |
| 90651 |
|
29 |
26 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
12 |
$0.00 |
| 90648 |
|
1,166 |
1,066 |
$0.00 |
| 90700 |
|
167 |
147 |
$0.00 |
| 1160F |
|
33 |
28 |
$0.00 |
| 90633 |
|
167 |
153 |
$0.00 |
| 90707 |
|
71 |
62 |
$0.00 |
| 90734 |
|
27 |
26 |
$0.00 |
| 90687 |
|
14 |
14 |
$0.00 |
| 3078F |
|
94 |
67 |
$0.00 |