| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,281 |
2,985 |
$155K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,205 |
1,180 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,944 |
2,717 |
$101K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
976 |
943 |
$77K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,737 |
2,487 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
617 |
601 |
$44K |
| 99442 |
|
1,359 |
1,223 |
$44K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
255 |
251 |
$34K |
| 99215 |
Prolong outpt/office vis |
254 |
233 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,259 |
617 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,215 |
1,175 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
122 |
119 |
$10K |
| 99381 |
|
335 |
248 |
$9K |
| 90756 |
|
509 |
491 |
$9K |
| 81002 |
|
3,280 |
3,133 |
$8K |
| 99000 |
|
816 |
688 |
$8K |
| 90461 |
|
1,070 |
733 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
217 |
159 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
321 |
298 |
$3K |
| 99384 |
|
27 |
27 |
$3K |
| 90651 |
|
27 |
24 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
25 |
$2K |
| 90670 |
|
185 |
176 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
373 |
361 |
$2K |
| 90710 |
|
43 |
42 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 90733 |
|
115 |
111 |
$1K |
| 87807 |
|
70 |
68 |
$575.84 |
| 90632 |
|
36 |
36 |
$271.65 |
| 90674 |
|
199 |
199 |
$270.20 |
| 99407 |
|
17 |
16 |
$266.20 |
| 86769 |
|
17 |
17 |
$198.00 |
| 92551 |
|
29 |
29 |
$174.14 |
| 87430 |
|
97 |
94 |
$112.96 |
| 90715 |
|
55 |
52 |
$100.86 |
| 90723 |
|
103 |
97 |
$96.03 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$66.45 |
| 94760 |
|
31 |
31 |
$35.19 |
| 80061 |
Lipid panel |
12 |
12 |
$22.50 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
211 |
208 |
$14.49 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
330 |
326 |
$14.23 |
| 99173 |
|
312 |
306 |
$2.92 |
| 90647 |
|
136 |
127 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
28 |
28 |
$0.00 |
| 90650 |
|
135 |
123 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90620 |
|
46 |
45 |
$0.00 |
| 90696 |
|
27 |
27 |
$0.00 |
| 90656 |
|
64 |
64 |
$0.00 |
| 86804 |
|
13 |
13 |
$0.00 |
| 90655 |
|
253 |
228 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
94 |
93 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |