| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,388 |
10,339 |
$914K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,502 |
11,392 |
$785K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,823 |
7,451 |
$236K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,002 |
2,002 |
$177K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,186 |
2,186 |
$177K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,350 |
2,322 |
$162K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,833 |
1,832 |
$142K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,790 |
5,487 |
$131K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,964 |
3,023 |
$66K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
429 |
429 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,417 |
5,216 |
$35K |
| 92551 |
|
3,015 |
3,015 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,793 |
5,756 |
$23K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
239 |
141 |
$21K |
| 90461 |
|
1,235 |
1,203 |
$21K |
| 87070 |
|
5,401 |
5,204 |
$19K |
| 81000 |
|
6,525 |
6,447 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,194 |
2,170 |
$16K |
| 80061 |
Lipid panel |
3,162 |
3,059 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
318 |
298 |
$13K |
| 96127 |
|
3,657 |
3,603 |
$11K |
| 99051 |
|
2,831 |
2,745 |
$11K |
| 92583 |
|
368 |
368 |
$8K |
| 0001A |
|
210 |
210 |
$7K |
| 96160 |
|
4,264 |
4,251 |
$7K |
| 0002A |
|
186 |
186 |
$7K |
| 90677 |
|
104 |
104 |
$6K |
| 99173 |
|
5,170 |
5,169 |
$6K |
| 0071A |
|
115 |
115 |
$4K |
| 0072A |
|
113 |
113 |
$4K |
| 86328 |
|
131 |
69 |
$4K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 99383 |
|
26 |
26 |
$2K |
| 85018 |
|
1,185 |
1,175 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$2K |
| 90686 |
|
1,113 |
1,110 |
$2K |
| 99177 |
|
728 |
728 |
$1K |
| 87807 |
|
259 |
252 |
$1K |
| 99384 |
|
14 |
14 |
$1K |
| 83655 |
|
107 |
107 |
$954.07 |
| 90619 |
|
174 |
174 |
$951.10 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
79 |
75 |
$768.71 |
| 90651 |
|
155 |
155 |
$614.61 |
| 90670 |
|
233 |
232 |
$589.05 |
| 90633 |
|
112 |
112 |
$519.30 |
| 0004A |
|
13 |
13 |
$505.06 |
| 90648 |
|
311 |
311 |
$481.95 |
| 36410 |
|
57 |
56 |
$304.21 |
| 90680 |
|
38 |
38 |
$196.35 |
| 90716 |
|
92 |
92 |
$188.14 |
| 90715 |
|
50 |
50 |
$125.27 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$85.80 |
| 3008F |
|
3,084 |
3,083 |
$70.01 |
| 90700 |
|
558 |
555 |
$35.70 |
| 90713 |
|
336 |
336 |
$30.99 |
| 81002 |
|
15 |
15 |
$29.78 |
| 90744 |
|
79 |
79 |
$29.15 |
| 36416 |
|
7,690 |
7,514 |
$28.38 |
| 94760 |
|
135 |
134 |
$16.45 |
| 99000 |
|
1,736 |
1,671 |
$10.05 |
| 90620 |
|
68 |
68 |
$0.00 |
| 91307 |
|
65 |
59 |
$0.00 |
| 91300 |
|
228 |
204 |
$0.00 |
| 90734 |
|
60 |
60 |
$0.00 |
| 90707 |
|
52 |
52 |
$0.00 |
| 90621 |
|
27 |
27 |
$0.00 |