| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,591 |
8,662 |
$449K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,614 |
7,063 |
$257K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,119 |
2,056 |
$164K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,192 |
3,083 |
$137K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,854 |
3,324 |
$86K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,916 |
3,152 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
960 |
932 |
$82K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
999 |
979 |
$76K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,881 |
2,881 |
$31K |
| 90461 |
|
1,344 |
1,030 |
$13K |
| 87807 |
|
1,219 |
1,172 |
$13K |
| 99429 |
|
231 |
224 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
438 |
410 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
202 |
190 |
$5K |
| 87428 |
|
53 |
52 |
$4K |
| 99381 |
|
24 |
24 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
32 |
32 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$150.75 |
| 88720 |
|
17 |
12 |
$76.09 |
| 96160 |
|
12 |
12 |
$25.14 |
| 90686 |
|
456 |
451 |
$19.66 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$2.56 |
| 90677 |
|
55 |
52 |
$0.05 |
| 90700 |
|
29 |
29 |
$0.00 |
| 90648 |
|
358 |
350 |
$0.00 |
| 90633 |
|
200 |
183 |
$0.00 |
| 90670 |
|
654 |
641 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90680 |
|
229 |
227 |
$0.00 |
| 90723 |
|
93 |
92 |
$0.00 |