| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,462 |
8,672 |
$490K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,961 |
7,068 |
$297K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,980 |
2,901 |
$263K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,715 |
2,586 |
$216K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,973 |
7,850 |
$197K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,873 |
1,798 |
$142K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,733 |
6,536 |
$93K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,467 |
3,171 |
$89K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,184 |
5,689 |
$86K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
400 |
394 |
$24K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
319 |
317 |
$12K |
| 81002 |
|
2,752 |
2,664 |
$8K |
| 90461 |
|
1,078 |
1,050 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
38 |
$3K |
| 90686 |
|
3,248 |
3,242 |
$2K |
| 90670 |
|
39 |
39 |
$787.50 |
| 99050 |
|
46 |
44 |
$673.20 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
28 |
$212.24 |
| 90620 |
|
106 |
106 |
$150.01 |
| 81025 |
|
13 |
13 |
$93.99 |
| 90715 |
|
74 |
68 |
$35.00 |
| 90651 |
|
409 |
395 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 90734 |
|
335 |
324 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90672 |
|
12 |
12 |
$0.00 |