| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,570 |
16,637 |
$1.85M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,398 |
15,328 |
$1.18M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,097 |
14,021 |
$467K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,481 |
4,480 |
$393K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,038 |
3,841 |
$330K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,640 |
3,640 |
$318K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,537 |
1,537 |
$149K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,633 |
1,364 |
$39K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
653 |
645 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,906 |
3,818 |
$20K |
| 83655 |
|
725 |
725 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
406 |
385 |
$8K |
| 87807 |
|
505 |
499 |
$6K |
| 0072A |
|
133 |
133 |
$5K |
| 0071A |
|
128 |
128 |
$5K |
| 99050 |
|
398 |
395 |
$3K |
| 99177 |
|
6,542 |
6,539 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
206 |
205 |
$3K |
| 99442 |
|
42 |
41 |
$2K |
| 0001A |
|
53 |
53 |
$2K |
| 96160 |
|
1,405 |
1,405 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
125 |
120 |
$2K |
| 0002A |
|
44 |
44 |
$2K |
| 99443 |
|
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
346 |
346 |
$781.20 |
| 90686 |
|
3,471 |
3,471 |
$760.91 |
| 0081A |
|
13 |
13 |
$494.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$164.13 |
| 85018 |
|
85 |
85 |
$160.34 |
| 81002 |
|
44 |
44 |
$84.86 |
| 36415 |
Collection of venous blood by venipuncture |
152 |
148 |
$61.05 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$44.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
28 |
$3.49 |
| 90677 |
|
206 |
206 |
$0.05 |
| 90619 |
|
84 |
84 |
$0.03 |
| 90670 |
|
1,221 |
1,221 |
$0.00 |
| 90633 |
|
145 |
145 |
$0.00 |
| 90685 |
|
90 |
90 |
$0.00 |
| 90672 |
|
17 |
17 |
$0.00 |
| 90461 |
|
15 |
15 |
$0.00 |
| 90621 |
|
13 |
13 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90680 |
|
391 |
391 |
$0.00 |
| 90698 |
|
705 |
705 |
$0.00 |
| 90697 |
|
85 |
85 |
$0.00 |
| 36416 |
|
473 |
472 |
$0.00 |
| 90744 |
|
69 |
69 |
$0.00 |
| 91307 |
|
53 |
47 |
$0.00 |
| 90651 |
|
31 |
31 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |