| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,867 |
3,282 |
$198K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,819 |
3,934 |
$169K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,355 |
1,221 |
$104K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,075 |
1,005 |
$95K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
995 |
937 |
$77K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,549 |
3,048 |
$50K |
| 99000 |
|
4,817 |
4,151 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
379 |
338 |
$27K |
| 97803 |
|
4,405 |
3,739 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
509 |
462 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
140 |
129 |
$12K |
| 90461 |
|
1,863 |
1,278 |
$10K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
114 |
56 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,155 |
747 |
$9K |
| 99429 |
|
256 |
243 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
240 |
207 |
$6K |
| 99215 |
Prolong outpt/office vis |
64 |
58 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
313 |
293 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
96 |
93 |
$4K |
| 99383 |
|
34 |
33 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
45 |
44 |
$2K |
| 90651 |
|
489 |
451 |
$2K |
| 90688 |
|
697 |
674 |
$2K |
| 99072 |
|
3,810 |
3,023 |
$2K |
| 97802 |
|
234 |
206 |
$1K |
| 99384 |
|
13 |
13 |
$986.39 |
| 97169 |
|
196 |
129 |
$926.40 |
| 0071A |
|
19 |
18 |
$736.00 |
| 90619 |
|
31 |
27 |
$675.00 |
| 90734 |
|
375 |
339 |
$630.16 |
| 90686 |
|
1,014 |
977 |
$584.12 |
| 99050 |
|
62 |
60 |
$581.95 |
| 87400 |
|
52 |
52 |
$442.82 |
| 0111A |
|
12 |
12 |
$426.75 |
| 90620 |
|
25 |
25 |
$423.24 |
| 94760 |
|
512 |
427 |
$354.42 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$181.74 |
| 90621 |
|
112 |
105 |
$105.36 |
| 90715 |
|
149 |
125 |
$64.00 |
| 96160 |
|
109 |
104 |
$25.40 |
| 94761 |
|
12 |
12 |
$6.33 |
| 91307 |
|
24 |
23 |
$0.08 |
| 91311 |
|
14 |
13 |
$0.01 |
| 90633 |
|
323 |
310 |
$0.00 |
| 90670 |
|
451 |
426 |
$0.00 |
| 94664 |
|
12 |
12 |
$0.00 |
| 90710 |
|
79 |
70 |
$0.00 |
| 90700 |
|
270 |
243 |
$0.00 |
| 90648 |
|
206 |
193 |
$0.00 |
| 99173 |
|
66 |
64 |
$0.00 |
| 90713 |
|
111 |
84 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,768 |
3,984 |
$0.00 |
| 90723 |
|
47 |
43 |
$0.00 |
| 96127 |
|
58 |
55 |
$0.00 |
| 90680 |
|
159 |
151 |
$0.00 |