| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,656 |
8,423 |
$951K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,381 |
6,503 |
$500K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,360 |
3,179 |
$155K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,497 |
2,241 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,027 |
1,003 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
944 |
839 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
668 |
626 |
$67K |
| 90461 |
|
1,298 |
1,244 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
400 |
361 |
$44K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,477 |
1,406 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,446 |
2,313 |
$35K |
| G9153 |
Mapcp demonstration - physician incentive pool |
630 |
596 |
$25K |
| 99051 |
|
1,933 |
1,811 |
$23K |
| 97803 |
|
876 |
775 |
$16K |
| 96127 |
|
1,824 |
1,765 |
$12K |
| 97802 |
|
551 |
532 |
$12K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
539 |
502 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,346 |
1,296 |
$9K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
67 |
66 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
80 |
76 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
93 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
261 |
238 |
$3K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
58 |
58 |
$3K |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$2K |
| 87807 |
|
179 |
164 |
$2K |
| 81002 |
|
582 |
553 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
29 |
$126.48 |
| 81003 |
|
17 |
16 |
$43.52 |
| 94760 |
|
29 |
21 |
$13.44 |
| 90647 |
|
67 |
67 |
$0.00 |
| 90686 |
|
102 |
101 |
$0.00 |
| 90651 |
|
49 |
49 |
$0.00 |
| 90670 |
|
240 |
235 |
$0.00 |
| 90710 |
|
44 |
42 |
$0.00 |
| 90633 |
|
129 |
123 |
$0.00 |
| 90658 |
|
189 |
183 |
$0.00 |
| 90734 |
|
46 |
44 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |