| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,880 |
4,188 |
$367K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,184 |
4,419 |
$260K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
360 |
330 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
333 |
311 |
$21K |
| 99215 |
Prolong outpt/office vis |
165 |
145 |
$14K |
| 87428 |
|
316 |
280 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,037 |
938 |
$9K |
| 90686 |
|
585 |
570 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
140 |
105 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
180 |
159 |
$3K |
| 99173 |
|
1,516 |
1,340 |
$3K |
| 90670 |
|
183 |
173 |
$3K |
| 81003 |
|
1,342 |
1,179 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
142 |
129 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
168 |
158 |
$2K |
| 90698 |
|
80 |
77 |
$2K |
| 90680 |
|
64 |
61 |
$1K |
| 96127 |
|
441 |
410 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
15 |
$980.00 |
| 87430 |
|
73 |
70 |
$834.12 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$735.75 |
| 96160 |
|
1,011 |
904 |
$523.32 |
| 90671 |
|
12 |
12 |
$237.48 |
| 90656 |
|
12 |
12 |
$237.48 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$110.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
13 |
$100.00 |
| 36416 |
|
62 |
52 |
$65.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
12 |
$12.87 |
| 97802 |
|
15 |
13 |
$0.00 |