| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
3,689 |
2,970 |
$294K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,928 |
4,046 |
$252K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
923 |
919 |
$74K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
884 |
872 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,564 |
1,388 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,000 |
2,041 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
387 |
384 |
$26K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,102 |
781 |
$15K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
88 |
86 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
134 |
133 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
988 |
891 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
169 |
161 |
$7K |
| 99429 |
|
100 |
99 |
$3K |
| 90461 |
|
1,312 |
314 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
97 |
96 |
$1K |
| 0001A |
|
82 |
66 |
$630.00 |
| 0072A |
|
14 |
14 |
$560.00 |
| 0002A |
|
49 |
40 |
$500.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
31 |
$375.30 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$291.94 |
| 96160 |
|
14 |
14 |
$24.75 |
| 91307 |
|
92 |
74 |
$0.04 |
| 90686 |
|
637 |
631 |
$0.02 |
| 90651 |
|
146 |
145 |
$0.01 |
| 91300 |
|
60 |
57 |
$0.00 |
| 90670 |
|
110 |
108 |
$0.00 |
| 90734 |
|
94 |
92 |
$0.00 |
| 90715 |
|
23 |
22 |
$0.00 |