| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,821 |
23,612 |
$1.28M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,023 |
2,996 |
$217K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,730 |
2,688 |
$188K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,139 |
2,129 |
$162K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,565 |
6,019 |
$133K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,730 |
3,648 |
$127K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,443 |
1,428 |
$118K |
| 99000 |
|
10,559 |
9,371 |
$97K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,573 |
3,388 |
$91K |
| 99429 |
|
2,449 |
2,423 |
$79K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,660 |
1,629 |
$69K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,885 |
4,746 |
$65K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,930 |
2,944 |
$30K |
| 99381 |
|
275 |
268 |
$20K |
| 90461 |
|
2,905 |
2,507 |
$15K |
| 90474 |
|
1,377 |
1,357 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
825 |
640 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
105 |
100 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
65 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
140 |
139 |
$3K |
| 97802 |
|
2,731 |
2,707 |
$3K |
| 96160 |
|
1,526 |
1,509 |
$3K |
| 87807 |
|
179 |
173 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
157 |
153 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
13 |
13 |
$564.63 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
287 |
256 |
$451.78 |
| 81003 |
|
170 |
165 |
$289.17 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$168.30 |
| 90686 |
|
1,438 |
1,425 |
$110.61 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
181 |
179 |
$57.27 |
| 90677 |
|
580 |
577 |
$0.27 |
| 90697 |
|
751 |
739 |
$0.06 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,265 |
5,209 |
$0.00 |
| 90716 |
|
54 |
53 |
$0.00 |
| 3008F |
|
30,478 |
26,433 |
$0.00 |
| 2000F |
|
17,863 |
16,264 |
$0.00 |
| 90680 |
|
1,433 |
1,411 |
$0.00 |
| 90696 |
|
28 |
28 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,718 |
1,695 |
$0.00 |
| 90698 |
|
411 |
404 |
$0.00 |
| 90651 |
|
270 |
267 |
$0.00 |
| 90656 |
|
74 |
74 |
$0.00 |
| 90744 |
|
145 |
144 |
$0.00 |
| 90700 |
|
72 |
68 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
2,526 |
2,443 |
$0.00 |
| 90633 |
|
899 |
887 |
$0.00 |
| 90670 |
|
1,702 |
1,676 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
998 |
967 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,493 |
5,425 |
$0.00 |
| 90734 |
|
299 |
297 |
$0.00 |
| 90710 |
|
57 |
57 |
$0.00 |
| 90707 |
|
55 |
54 |
$0.00 |
| 99401 |
|
56 |
56 |
$0.00 |
| 90648 |
|
54 |
51 |
$0.00 |
| 90715 |
|
61 |
59 |
$0.00 |