| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,099 |
4,698 |
$210K |
| 99091 |
|
1,425 |
1,405 |
$208K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,548 |
2,390 |
$77K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
545 |
500 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,072 |
1,472 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
346 |
329 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
332 |
313 |
$17K |
| 99000 |
|
1,761 |
1,685 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
280 |
268 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
610 |
562 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
599 |
570 |
$6K |
| 81025 |
|
594 |
565 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
65 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
291 |
278 |
$2K |
| 87400 |
|
225 |
206 |
$2K |
| 90461 |
|
773 |
616 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$1K |
| 87110 |
|
182 |
172 |
$926.59 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17 |
13 |
$412.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
30 |
$388.92 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
182 |
137 |
$142.50 |
| 36415 |
Collection of venous blood by venipuncture |
1,213 |
1,131 |
$98.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
16 |
$76.80 |
| 81002 |
|
12 |
12 |
$32.12 |
| 91300 |
|
185 |
179 |
$0.53 |
| 90656 |
|
239 |
232 |
$0.40 |
| 90686 |
|
112 |
97 |
$0.32 |
| 90734 |
|
131 |
129 |
$0.20 |
| 90649 |
|
110 |
107 |
$0.01 |
| 90716 |
|
70 |
66 |
$0.01 |
| 90707 |
|
72 |
68 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90670 |
|
98 |
92 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 90621 |
|
13 |
13 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |