| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,475 |
9,936 |
$763K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
825 |
557 |
$143K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,079 |
2,855 |
$135K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,319 |
3,900 |
$133K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,162 |
1,091 |
$78K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,084 |
1,017 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
885 |
820 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
828 |
720 |
$47K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
124 |
112 |
$18K |
| 87428 |
|
247 |
237 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
359 |
326 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
159 |
125 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
186 |
176 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
266 |
243 |
$2K |
| 90651 |
|
479 |
438 |
$2K |
| 90686 |
|
658 |
612 |
$1K |
| 90670 |
|
453 |
424 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
101 |
96 |
$1K |
| 90734 |
|
225 |
206 |
$459.44 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18 |
12 |
$410.04 |
| 90647 |
|
202 |
184 |
$338.98 |
| 90633 |
|
93 |
88 |
$194.08 |
| 96160 |
|
78 |
60 |
$191.33 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
26 |
$168.65 |
| 90716 |
|
35 |
33 |
$165.65 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$162.17 |
| 95117 |
|
15 |
13 |
$153.19 |
| 99173 |
|
69 |
54 |
$150.67 |
| 90723 |
|
96 |
95 |
$146.85 |
| 90461 |
|
170 |
155 |
$138.22 |
| 90715 |
|
118 |
103 |
$101.06 |
| 96127 |
|
19 |
18 |
$85.79 |
| 90658 |
|
174 |
166 |
$70.44 |
| 90674 |
|
82 |
54 |
$60.20 |
| 90707 |
|
35 |
32 |
$57.20 |
| 90657 |
|
20 |
20 |
$52.41 |
| 90710 |
|
27 |
24 |
$11.00 |
| 90696 |
|
29 |
26 |
$0.00 |
| 90619 |
|
29 |
28 |
$0.00 |