| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,424 |
9,615 |
$1.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,471 |
8,331 |
$731K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,303 |
5,881 |
$213K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,634 |
1,592 |
$153K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,372 |
1,296 |
$128K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,312 |
3,373 |
$101K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
961 |
937 |
$99K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,582 |
5,119 |
$77K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,189 |
1,079 |
$39K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,981 |
1,829 |
$38K |
| 92551 |
|
3,462 |
3,342 |
$34K |
| 96127 |
|
8,485 |
8,015 |
$25K |
| 90461 |
|
2,507 |
2,386 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
208 |
177 |
$16K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,122 |
912 |
$15K |
| 90651 |
|
511 |
491 |
$15K |
| 99173 |
|
3,666 |
3,547 |
$11K |
| 90670 |
|
411 |
388 |
$7K |
| 90686 |
|
1,910 |
1,807 |
$7K |
| 80305 |
|
622 |
596 |
$7K |
| 96160 |
|
1,597 |
1,542 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,622 |
1,421 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
38 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
395 |
234 |
$4K |
| 0001A |
|
63 |
57 |
$2K |
| 0071A |
|
48 |
48 |
$2K |
| 90716 |
|
126 |
124 |
$2K |
| 90715 |
|
267 |
252 |
$1K |
| 81002 |
|
494 |
390 |
$1K |
| 90707 |
|
134 |
133 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
28 |
$1K |
| 0072A |
|
34 |
34 |
$1K |
| 90700 |
|
1,109 |
1,063 |
$620.00 |
| 96161 |
|
120 |
112 |
$566.75 |
| 90648 |
|
273 |
256 |
$384.20 |
| 90734 |
|
242 |
232 |
$285.00 |
| 90713 |
|
628 |
604 |
$112.00 |
| 90688 |
|
46 |
45 |
$74.84 |
| 90685 |
|
33 |
25 |
$44.00 |
| 90633 |
|
165 |
155 |
$38.22 |
| 90744 |
|
35 |
27 |
$27.00 |
| 91307 |
|
104 |
90 |
$0.00 |
| 90647 |
|
75 |
75 |
$0.00 |
| 91300 |
|
80 |
67 |
$0.00 |