| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,461 |
9,299 |
$536K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,774 |
6,149 |
$252K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,785 |
2,652 |
$211K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,551 |
2,461 |
$207K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,170 |
6,918 |
$154K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,861 |
1,712 |
$139K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,430 |
1,374 |
$126K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,711 |
1,657 |
$42K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,980 |
1,444 |
$40K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,627 |
3,670 |
$37K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
882 |
854 |
$34K |
| 99383 |
|
317 |
310 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,842 |
1,782 |
$25K |
| 99000 |
|
2,570 |
2,455 |
$24K |
| 90461 |
|
2,365 |
1,899 |
$13K |
| 92587 |
|
1,729 |
1,666 |
$13K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
43 |
40 |
$12K |
| 99381 |
|
138 |
135 |
$12K |
| 92551 |
|
1,100 |
1,089 |
$10K |
| 99382 |
|
86 |
83 |
$8K |
| 83655 |
|
628 |
612 |
$6K |
| 85018 |
|
2,213 |
2,168 |
$5K |
| 87430 |
|
324 |
292 |
$3K |
| 99384 |
|
29 |
29 |
$3K |
| 96160 |
|
1,612 |
1,541 |
$3K |
| 92567 |
|
240 |
228 |
$3K |
| 99215 |
Prolong outpt/office vis |
30 |
29 |
$2K |
| 87081 |
|
656 |
626 |
$2K |
| 94760 |
|
3,140 |
2,895 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
138 |
127 |
$1K |
| 87807 |
|
89 |
85 |
$950.00 |
| 99174 |
|
594 |
576 |
$813.75 |
| 81003 |
|
300 |
281 |
$571.61 |
| 90677 |
|
431 |
425 |
$255.55 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
259 |
241 |
$175.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
14 |
$161.14 |
| 36415 |
Collection of venous blood by venipuncture |
130 |
121 |
$140.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
233 |
223 |
$73.50 |
| 90686 |
|
2,635 |
2,570 |
$56.94 |
| 84030 |
|
15 |
15 |
$23.10 |
| 36416 |
|
2,521 |
2,448 |
$10.50 |
| 90619 |
|
96 |
91 |
$0.54 |
| 90734 |
|
290 |
277 |
$0.34 |
| 90651 |
|
662 |
634 |
$0.26 |
| 90620 |
|
79 |
77 |
$0.19 |
| 90670 |
|
1,093 |
1,027 |
$0.10 |
| 90715 |
|
128 |
123 |
$0.09 |
| 90648 |
|
1,052 |
1,004 |
$0.09 |
| 90633 |
|
978 |
926 |
$0.07 |
| 90681 |
|
413 |
388 |
$0.05 |
| 90723 |
|
547 |
527 |
$0.04 |
| 90707 |
|
34 |
26 |
$0.03 |
| 90716 |
|
86 |
78 |
$0.03 |
| 99173 |
|
3,245 |
3,164 |
$0.00 |
| 90710 |
|
245 |
231 |
$0.00 |
| 90700 |
|
86 |
79 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 94664 |
|
13 |
13 |
$0.00 |
| 90698 |
|
91 |
76 |
$0.00 |
| 90696 |
|
118 |
109 |
$0.00 |
| 90656 |
|
427 |
427 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
15 |
15 |
$0.00 |