| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,001 |
8,453 |
$857K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,146 |
6,778 |
$460K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,326 |
5,316 |
$451K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,794 |
3,789 |
$319K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,127 |
4,085 |
$293K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,621 |
7,546 |
$151K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,067 |
1,065 |
$97K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,350 |
7,293 |
$81K |
| 99381 |
|
576 |
575 |
$50K |
| 90671 |
|
315 |
315 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,092 |
1,087 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
643 |
643 |
$14K |
| 36416 |
|
876 |
869 |
$4K |
| 99383 |
|
37 |
37 |
$3K |
| 87430 |
|
466 |
463 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
51 |
$2K |
| 81002 |
|
882 |
830 |
$2K |
| 90740 |
|
27 |
27 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
54 |
54 |
$2K |
| 97802 |
|
4,755 |
4,745 |
$2K |
| 99382 |
|
14 |
14 |
$1K |
| 90474 |
|
85 |
85 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
127 |
117 |
$802.77 |
| 85018 |
|
228 |
228 |
$450.94 |
| 90733 |
|
100 |
100 |
$380.00 |
| 99407 |
|
13 |
13 |
$193.38 |
| 99072 |
|
1,613 |
1,501 |
$175.00 |
| 99173 |
|
5,971 |
5,950 |
$142.50 |
| 96127 |
|
49 |
49 |
$139.51 |
| 80061 |
Lipid panel |
13 |
13 |
$102.58 |
| 90744 |
|
989 |
979 |
$26.14 |
| 98966 |
|
169 |
165 |
$8.31 |
| 90461 |
|
4,293 |
4,273 |
$0.00 |
| 90633 |
|
1,003 |
994 |
$0.00 |
| 90707 |
|
1,279 |
1,278 |
$0.00 |
| 90700 |
|
301 |
298 |
$0.00 |
| 90670 |
|
2,107 |
2,094 |
$0.00 |
| 90715 |
|
90 |
90 |
$0.00 |
| 90685 |
|
62 |
62 |
$0.00 |
| 4551F |
|
308 |
301 |
$0.00 |
| 0486T |
|
31 |
29 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90698 |
|
1,629 |
1,628 |
$0.00 |
| 90680 |
|
1,004 |
1,001 |
$0.00 |
| 90696 |
|
201 |
201 |
$0.00 |
| 90651 |
|
418 |
417 |
$0.00 |
| 90716 |
|
1,227 |
1,225 |
$0.00 |
| 90619 |
|
27 |
27 |
$0.00 |
| 90686 |
|
250 |
249 |
$0.00 |
| 90647 |
|
400 |
390 |
$0.00 |
| 90723 |
|
120 |
117 |
$0.00 |