| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,770 |
5,438 |
$326K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,214 |
8,550 |
$323K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,139 |
3,454 |
$230K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,451 |
2,736 |
$170K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,025 |
3,440 |
$112K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,267 |
5,391 |
$99K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,181 |
922 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,166 |
926 |
$49K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,755 |
1,804 |
$30K |
| 90474 |
|
1,188 |
1,077 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
681 |
623 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
342 |
325 |
$17K |
| 87807 |
|
1,953 |
1,109 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,498 |
2,214 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
175 |
158 |
$11K |
| 99460 |
|
110 |
108 |
$8K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
140 |
98 |
$7K |
| J0558 |
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units |
265 |
180 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
161 |
94 |
$6K |
| 87428 |
|
102 |
95 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
111 |
106 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
392 |
288 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
179 |
142 |
$4K |
| 99215 |
Prolong outpt/office vis |
30 |
26 |
$2K |
| 83655 |
|
657 |
248 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,035 |
384 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
237 |
207 |
$1K |
| 99499 |
|
15 |
15 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
27 |
$1K |
| 88720 |
|
94 |
55 |
$523.32 |
| 90473 |
|
18 |
18 |
$327.76 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
44 |
12 |
$266.49 |
| 99381 |
|
12 |
12 |
$240.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
13 |
$234.00 |
| 90670 |
|
2,681 |
2,293 |
$226.26 |
| 81001 |
|
430 |
229 |
$194.01 |
| 81002 |
|
104 |
66 |
$141.04 |
| 36415 |
Collection of venous blood by venipuncture |
4,001 |
3,134 |
$33.03 |
| 90686 |
|
1,145 |
974 |
$19.58 |
| 90461 |
|
75 |
62 |
$19.20 |
| 90698 |
|
1,596 |
1,397 |
$0.01 |
| 90680 |
|
1,671 |
1,490 |
$0.01 |
| 90633 |
|
967 |
783 |
$0.00 |
| 90685 |
|
359 |
343 |
$0.00 |
| 90707 |
|
197 |
140 |
$0.00 |
| 90672 |
|
106 |
89 |
$0.00 |
| 90681 |
|
24 |
14 |
$0.00 |
| 90710 |
|
79 |
69 |
$0.00 |
| 90715 |
|
26 |
25 |
$0.00 |
| 90734 |
|
27 |
26 |
$0.00 |
| 90700 |
|
17 |
12 |
$0.00 |
| 90648 |
|
51 |
32 |
$0.00 |
| 36416 |
|
850 |
348 |
$0.00 |
| 90697 |
|
312 |
277 |
$0.00 |
| 90744 |
|
706 |
571 |
$0.00 |
| 90723 |
|
234 |
213 |
$0.00 |
| 90647 |
|
305 |
273 |
$0.00 |
| 90716 |
|
196 |
141 |
$0.00 |
| 90696 |
|
63 |
43 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90674 |
|
62 |
60 |
$0.00 |
| 99000 |
|
148 |
120 |
$0.00 |