| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,729 |
19,814 |
$1.13M |
| 99091 |
|
1,232 |
1,194 |
$173K |
| H1010 |
Non-medical family planning education, per session |
15,003 |
9,977 |
$170K |
| 99215 |
Prolong outpt/office vis |
2,536 |
2,361 |
$163K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,574 |
2,381 |
$78K |
| 99205 |
Prolong outpt/office vis |
444 |
443 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,038 |
2,928 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
390 |
388 |
$22K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
80 |
77 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
235 |
234 |
$14K |
| 99385 |
|
229 |
226 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
201 |
201 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
147 |
147 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
532 |
531 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
132 |
131 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$2K |
| 99384 |
|
30 |
30 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
96 |
95 |
$720.93 |
| 90674 |
|
78 |
78 |
$446.35 |
| 90473 |
|
34 |
34 |
$421.05 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
68 |
68 |
$356.56 |
| 90461 |
|
150 |
150 |
$350.39 |
| 99401 |
|
72 |
72 |
$329.52 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$199.45 |
| 90734 |
|
82 |
82 |
$148.21 |
| 90649 |
|
43 |
43 |
$107.10 |
| S9470 |
Nutritional counseling, dietitian visit |
391 |
389 |
$50.60 |
| S9451 |
Exercise classes, non-physician provider, per session |
990 |
980 |
$29.40 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
43 |
43 |
$6.27 |
| 90670 |
|
12 |
12 |
$1.05 |
| 90696 |
|
12 |
12 |
$0.35 |
| 97802 |
|
79 |
76 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 3074F |
|
16 |
14 |
$0.00 |
| 90672 |
|
34 |
34 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |