| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90677 |
|
1,511 |
1,097 |
$407K |
| 90750 |
|
1,912 |
1,293 |
$313K |
| 91322 |
|
1,916 |
730 |
$296K |
| 90715 |
|
6,213 |
4,912 |
$212K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,195 |
2,613 |
$207K |
| 90686 |
|
9,759 |
6,695 |
$189K |
| 91320 |
|
845 |
426 |
$113K |
| 90746 |
|
1,420 |
1,176 |
$98K |
| 90656 |
|
4,877 |
2,940 |
$98K |
| 90682 |
|
1,575 |
1,120 |
$91K |
| 90662 |
|
879 |
663 |
$48K |
| 90651 |
|
291 |
273 |
$42K |
| 90732 |
|
364 |
272 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
862 |
740 |
$38K |
| 90678 |
|
108 |
98 |
$30K |
| 90673 |
|
270 |
157 |
$17K |
| 90480 |
|
388 |
369 |
$15K |
| 90661 |
|
435 |
321 |
$13K |
| 90670 |
|
94 |
72 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
656 |
598 |
$10K |
| 90671 |
|
68 |
57 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
106 |
92 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
89 |
72 |
$7K |
| 90707 |
|
84 |
73 |
$6K |
| 90619 |
|
88 |
77 |
$3K |
| 0011A |
|
80 |
80 |
$3K |
| 0012A |
|
56 |
56 |
$2K |
| 90674 |
|
71 |
66 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
389 |
376 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,766 |
7,880 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
34 |
27 |
$2K |
| 0013A |
|
34 |
26 |
$1K |
| 0001A |
|
28 |
28 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
41 |
$1K |
| 90620 |
|
16 |
13 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$922.08 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27 |
27 |
$883.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
28 |
$801.54 |
| 90688 |
|
34 |
28 |
$603.38 |
| 0124A |
|
18 |
13 |
$565.77 |
| 90734 |
|
29 |
29 |
$562.82 |
| 90710 |
|
31 |
29 |
$518.01 |
| 90697 |
|
29 |
25 |
$481.25 |
| 90680 |
|
16 |
13 |
$264.02 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
51 |
37 |
$161.86 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
471 |
444 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
52 |
52 |
$0.00 |
| 90461 |
|
45 |
41 |
$0.00 |