| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,874 |
13,373 |
$713K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,689 |
12,924 |
$696K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,372 |
8,237 |
$669K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,718 |
7,442 |
$554K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14,772 |
14,287 |
$464K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,959 |
12,188 |
$431K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,508 |
3,414 |
$261K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,495 |
1,448 |
$140K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
612 |
598 |
$47K |
| 96161 |
|
2,287 |
2,017 |
$43K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,176 |
1,028 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,147 |
1,127 |
$23K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
416 |
400 |
$22K |
| 99460 |
|
222 |
205 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
252 |
234 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,130 |
1,053 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
26 |
26 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
87 |
$2K |
| 87807 |
|
191 |
174 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 87430 |
|
94 |
87 |
$842.71 |
| 99173 |
|
159 |
155 |
$730.82 |
| 90686 |
|
4,264 |
4,163 |
$671.16 |
| 96127 |
|
143 |
142 |
$427.19 |
| 99462 |
|
16 |
13 |
$276.29 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
27 |
$259.66 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$30.38 |
| 94760 |
|
21 |
15 |
$4.02 |
| 90677 |
|
100 |
98 |
$0.26 |
| 90698 |
|
3,042 |
2,905 |
$0.08 |
| 90680 |
|
1,664 |
1,613 |
$0.04 |
| 36415 |
Collection of venous blood by venipuncture |
658 |
629 |
$0.00 |
| 90723 |
|
478 |
474 |
$0.00 |
| 90744 |
|
531 |
502 |
$0.00 |
| 90647 |
|
514 |
506 |
$0.00 |
| 90716 |
|
435 |
421 |
$0.00 |
| 90651 |
|
47 |
47 |
$0.00 |
| 90696 |
|
28 |
28 |
$0.00 |
| 90656 |
|
64 |
64 |
$0.00 |
| 90707 |
|
420 |
407 |
$0.00 |
| 90461 |
|
2,359 |
2,157 |
$0.00 |
| 90670 |
|
4,043 |
3,890 |
$0.00 |
| 90633 |
|
525 |
511 |
$0.00 |
| 90685 |
|
463 |
404 |
$0.00 |
| 90734 |
|
40 |
38 |
$0.00 |
| 90681 |
|
13 |
12 |
$0.00 |