| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,033 |
4,804 |
$1.57M |
| 99215 |
Prolong outpt/office vis |
2,535 |
898 |
$308K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,935 |
2,214 |
$218K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,032 |
1,335 |
$163K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,855 |
1,039 |
$158K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,593 |
787 |
$127K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
840 |
331 |
$47K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,875 |
1,603 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$8K |
| 99050 |
|
6,077 |
3,092 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
12 |
$4K |
| 99188 |
|
4,381 |
2,221 |
$696.77 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,198 |
667 |
$234.03 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,782 |
1,016 |
$159.57 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
816 |
472 |
$153.99 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,494 |
983 |
$31.76 |
| 90716 |
|
17 |
17 |
$0.00 |
| 90657 |
|
60 |
50 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
107 |
97 |
$0.00 |
| 90651 |
|
182 |
173 |
$0.00 |
| 97605 |
|
18 |
15 |
$0.00 |
| 90620 |
|
112 |
101 |
$0.00 |
| 10061 |
|
19 |
16 |
$0.00 |
| 90700 |
|
168 |
102 |
$0.00 |
| 90658 |
|
405 |
327 |
$0.00 |
| 90461 |
|
245 |
211 |
$0.00 |
| 90648 |
|
27 |
26 |
$0.00 |
| 90633 |
|
104 |
98 |
$0.00 |
| 69210 |
|
37 |
28 |
$0.00 |
| 90713 |
|
106 |
69 |
$0.00 |
| 90670 |
|
19 |
19 |
$0.00 |
| 17110 |
|
16 |
13 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |