| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,268 |
1,173 |
$65K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
345 |
332 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,204 |
1,130 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
449 |
448 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
400 |
399 |
$36K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
551 |
506 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
326 |
323 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
511 |
478 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,470 |
717 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
601 |
582 |
$8K |
| 99429 |
|
260 |
249 |
$8K |
| 99000 |
|
633 |
566 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
629 |
488 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
277 |
139 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
239 |
220 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
44 |
$3K |
| 90461 |
|
433 |
354 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
52 |
52 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
101 |
90 |
$1K |
| 96160 |
|
457 |
457 |
$1K |
| 81003 |
|
287 |
274 |
$567.54 |
| 99050 |
|
33 |
33 |
$493.02 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
33 |
31 |
$472.23 |
| 97804 |
|
1,048 |
1,038 |
$0.00 |
| 90620 |
|
16 |
16 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
15 |
$0.00 |
| 90647 |
|
46 |
46 |
$0.00 |
| 90657 |
|
13 |
13 |
$0.00 |
| 90734 |
|
132 |
130 |
$0.00 |
| 90633 |
|
82 |
82 |
$0.00 |
| 90658 |
|
192 |
189 |
$0.00 |
| 90670 |
|
128 |
128 |
$0.00 |
| 90710 |
|
60 |
60 |
$0.00 |
| 90700 |
|
30 |
30 |
$0.00 |
| 90714 |
|
67 |
64 |
$0.00 |