| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,289 |
6,710 |
$743K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,212 |
5,112 |
$245K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,979 |
1,918 |
$194K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,857 |
1,831 |
$188K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,235 |
2,118 |
$158K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,437 |
3,353 |
$147K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,188 |
1,159 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,005 |
993 |
$112K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,187 |
3,055 |
$47K |
| 97802 |
|
4,536 |
4,461 |
$25K |
| Q3014 |
Telehealth originating site facility fee |
1,046 |
993 |
$20K |
| 99429 |
|
1,836 |
895 |
$20K |
| 99215 |
Prolong outpt/office vis |
138 |
134 |
$19K |
| 81002 |
|
4,675 |
4,578 |
$15K |
| 96127 |
|
3,553 |
1,715 |
$14K |
| 85018 |
|
3,807 |
3,734 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
911 |
535 |
$9K |
| 99383 |
|
76 |
76 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
43 |
$7K |
| 92551 |
|
1,388 |
1,371 |
$5K |
| 99173 |
|
1,322 |
1,313 |
$4K |
| 99384 |
|
27 |
27 |
$4K |
| 96161 |
|
826 |
787 |
$3K |
| 99051 |
|
103 |
102 |
$2K |
| 99188 |
|
106 |
103 |
$2K |
| D1206 |
Topical application of fluoride varnish |
109 |
104 |
$2K |
| 83655 |
|
170 |
165 |
$2K |
| 0071A |
|
55 |
55 |
$2K |
| 0072A |
|
44 |
43 |
$2K |
| 99401 |
|
46 |
40 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 96160 |
|
250 |
236 |
$633.22 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$459.08 |
| 90649 |
|
67 |
66 |
$320.34 |
| 92567 |
|
14 |
12 |
$208.69 |
| 94664 |
|
12 |
12 |
$191.00 |
| 5250F |
|
77 |
76 |
$37.50 |
| 36416 |
|
3,847 |
3,759 |
$2.80 |
| 90685 |
|
228 |
222 |
$0.00 |
| 90710 |
|
388 |
378 |
$0.00 |
| 3085F |
|
237 |
235 |
$0.00 |
| 90734 |
|
349 |
345 |
$0.00 |
| 90633 |
|
469 |
457 |
$0.00 |
| 99001 |
|
353 |
336 |
$0.00 |
| 90670 |
|
1,277 |
1,240 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
70 |
27 |
$0.00 |
| 90715 |
|
18 |
17 |
$0.00 |
| 90647 |
|
623 |
604 |
$0.00 |
| 90680 |
|
494 |
481 |
$0.00 |
| 90620 |
|
87 |
86 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
3,898 |
3,820 |
$0.00 |
| 90686 |
|
1,114 |
1,085 |
$0.00 |
| 90651 |
|
564 |
550 |
$0.00 |
| 90697 |
|
42 |
40 |
$0.00 |
| 90723 |
|
570 |
555 |
$0.00 |
| 91307 |
|
113 |
104 |
$0.00 |
| 99000 |
|
135 |
133 |
$0.00 |
| 90696 |
|
43 |
43 |
$0.00 |