| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,256 |
37,049 |
$2.56M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,652 |
28,139 |
$1.25M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23,728 |
20,647 |
$875K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,651 |
8,621 |
$661K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,919 |
8,274 |
$654K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,179 |
5,104 |
$447K |
| 96160 |
|
41,966 |
19,951 |
$357K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,472 |
5,090 |
$353K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16,553 |
13,463 |
$279K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18,864 |
8,601 |
$169K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14,417 |
13,146 |
$123K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,142 |
1,964 |
$74K |
| 96127 |
|
17,573 |
11,677 |
$64K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,074 |
3,929 |
$61K |
| 96161 |
|
5,007 |
4,431 |
$49K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
359 |
248 |
$49K |
| 92558 |
|
13,772 |
11,093 |
$44K |
| 99381 |
|
614 |
507 |
$40K |
| 92587 |
|
2,042 |
1,460 |
$29K |
| 99173 |
|
6,771 |
5,442 |
$25K |
| 99174 |
|
4,236 |
3,577 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,902 |
3,350 |
$23K |
| 90651 |
|
1,990 |
1,646 |
$17K |
| 87807 |
|
1,677 |
1,570 |
$14K |
| 99382 |
|
135 |
125 |
$11K |
| 99383 |
|
132 |
126 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
404 |
298 |
$10K |
| 99384 |
|
114 |
103 |
$10K |
| D1206 |
Topical application of fluoride varnish |
483 |
464 |
$8K |
| 3008F |
|
10,815 |
9,151 |
$7K |
| 99215 |
Prolong outpt/office vis |
60 |
56 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
321 |
296 |
$5K |
| 90670 |
|
3,423 |
3,148 |
$5K |
| 90461 |
|
11,483 |
10,074 |
$5K |
| 36416 |
|
4,195 |
3,565 |
$5K |
| 90686 |
|
8,459 |
7,657 |
$4K |
| D0190 |
|
489 |
466 |
$4K |
| 90677 |
|
1,266 |
1,162 |
$4K |
| 90734 |
|
771 |
600 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
50 |
38 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
229 |
190 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
30 |
$3K |
| 93000 |
|
219 |
196 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
41 |
$3K |
| 99177 |
|
615 |
554 |
$3K |
| 94664 |
|
224 |
202 |
$3K |
| 83655 |
|
209 |
173 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
965 |
846 |
$2K |
| 94760 |
|
3,866 |
3,115 |
$1K |
| 92551 |
|
210 |
194 |
$1K |
| 90619 |
|
254 |
222 |
$1K |
| 81002 |
|
719 |
618 |
$1K |
| 90716 |
|
645 |
543 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
71 |
63 |
$1K |
| 95117 |
|
119 |
79 |
$981.44 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
43 |
17 |
$933.50 |
| 90680 |
|
1,847 |
1,709 |
$749.70 |
| 96380 |
|
53 |
47 |
$746.47 |
| 90707 |
|
599 |
508 |
$730.24 |
| 86580 |
|
115 |
78 |
$581.09 |
| 90381 |
|
38 |
31 |
$571.73 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
39 |
39 |
$523.99 |
| 90697 |
|
600 |
561 |
$475.85 |
| 85018 |
|
284 |
232 |
$462.48 |
| 90696 |
|
176 |
135 |
$426.45 |
| 90656 |
|
767 |
732 |
$334.99 |
| 90715 |
|
175 |
132 |
$329.52 |
| 90633 |
|
1,398 |
1,258 |
$309.70 |
| 90688 |
|
997 |
889 |
$275.59 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
140 |
118 |
$207.57 |
| 90698 |
|
763 |
701 |
$103.68 |
| 90710 |
|
363 |
307 |
$79.22 |
| 90672 |
|
64 |
57 |
$55.11 |
| 81003 |
|
30 |
28 |
$41.98 |
| 90744 |
|
218 |
195 |
$25.12 |
| 90700 |
|
35 |
29 |
$0.00 |
| 90661 |
|
167 |
152 |
$0.00 |
| 90756 |
|
288 |
280 |
$0.00 |
| 99072 |
|
1,296 |
1,190 |
$0.00 |
| 90648 |
|
88 |
82 |
$0.00 |
| 90621 |
|
15 |
13 |
$0.00 |
| 90685 |
|
39 |
34 |
$0.00 |
| 90658 |
|
28 |
28 |
$0.00 |
| 90674 |
|
56 |
55 |
$0.00 |