| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,100 |
9,833 |
$856K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,364 |
5,803 |
$318K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,173 |
2,170 |
$200K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,164 |
2,160 |
$195K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,888 |
1,859 |
$171K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,797 |
1,791 |
$162K |
| 99215 |
Prolong outpt/office vis |
1,026 |
848 |
$124K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,196 |
2,108 |
$32K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
559 |
552 |
$21K |
| 99188 |
|
962 |
961 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,203 |
593 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
256 |
249 |
$10K |
| 87428 |
|
293 |
288 |
$10K |
| 90686 |
|
1,131 |
1,110 |
$5K |
| 90648 |
|
1,334 |
1,323 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$3K |
| 90670 |
|
855 |
844 |
$3K |
| 90680 |
|
900 |
889 |
$3K |
| 90723 |
|
980 |
969 |
$3K |
| 81002 |
|
537 |
515 |
$2K |
| 90633 |
|
564 |
560 |
$1K |
| 96127 |
|
2,125 |
2,124 |
$1K |
| 90734 |
|
109 |
104 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,376 |
2,371 |
$1K |
| 96160 |
|
2,117 |
2,116 |
$1K |
| 92551 |
|
3,134 |
3,130 |
$890.62 |
| 99173 |
|
1,651 |
1,648 |
$761.26 |
| 90651 |
|
317 |
314 |
$751.00 |
| 0071A |
|
18 |
18 |
$748.00 |
| 99177 |
|
757 |
757 |
$496.02 |
| 90620 |
|
223 |
222 |
$418.00 |
| 80061 |
Lipid panel |
129 |
129 |
$401.06 |
| 0072A |
|
16 |
16 |
$264.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$181.61 |
| 87807 |
|
13 |
12 |
$161.15 |
| 90710 |
|
83 |
83 |
$144.00 |
| 90696 |
|
60 |
60 |
$143.00 |
| 90715 |
|
77 |
75 |
$108.00 |
| 85018 |
|
215 |
213 |
$71.86 |
| 83655 |
|
430 |
429 |
$52.99 |
| 96161 |
|
1,297 |
1,286 |
$0.00 |
| 90619 |
|
279 |
279 |
$0.00 |
| 90677 |
|
459 |
459 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
792 |
759 |
$0.00 |
| 90716 |
|
65 |
65 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
27 |
27 |
$0.00 |
| 90700 |
|
64 |
64 |
$0.00 |
| 90661 |
|
208 |
208 |
$0.00 |
| G9920 |
Screening performed and negative |
1,193 |
1,191 |
$0.00 |
| 90707 |
|
81 |
81 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
14 |
$0.00 |