| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,263 |
4,295 |
$342K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,344 |
2,035 |
$105K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,225 |
988 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
302 |
281 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
260 |
243 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
477 |
429 |
$16K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
453 |
402 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,077 |
971 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
190 |
173 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
419 |
379 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
140 |
128 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
681 |
638 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
490 |
446 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
651 |
587 |
$6K |
| 86308 |
|
759 |
677 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,363 |
1,215 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
429 |
389 |
$3K |
| 81002 |
|
1,024 |
938 |
$2K |
| 99051 |
|
211 |
173 |
$2K |
| 96112 |
|
14 |
14 |
$2K |
| 99173 |
|
776 |
719 |
$1K |
| 85014 |
|
572 |
525 |
$1K |
| 87807 |
|
93 |
87 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
115 |
59 |
$695.15 |
| 96160 |
|
595 |
558 |
$620.76 |
| 90474 |
|
14 |
13 |
$100.43 |
| 90619 |
|
96 |
78 |
$0.00 |
| 90744 |
|
29 |
28 |
$0.00 |
| 90686 |
|
31 |
30 |
$0.00 |
| 90651 |
|
62 |
52 |
$0.00 |
| 90698 |
|
32 |
28 |
$0.00 |
| 90633 |
|
60 |
54 |
$0.00 |
| 90670 |
|
169 |
142 |
$0.00 |
| 90681 |
|
28 |
25 |
$0.00 |
| G9920 |
Screening performed and negative |
181 |
151 |
$0.00 |
| 90715 |
|
14 |
12 |
$0.00 |
| 90700 |
|
24 |
12 |
$0.00 |