| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,811 |
8,453 |
$352K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,850 |
13,964 |
$287K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,079 |
7,808 |
$166K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,028 |
3,017 |
$127K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,455 |
2,440 |
$109K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,386 |
2,384 |
$102K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,212 |
5,146 |
$101K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,048 |
1,961 |
$86K |
| 99188 |
|
2,976 |
2,947 |
$50K |
| 90461 |
|
2,552 |
2,510 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,374 |
2,294 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,297 |
4,163 |
$32K |
| 90651 |
|
491 |
490 |
$30K |
| 90677 |
|
116 |
114 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,457 |
1,369 |
$17K |
| 92587 |
|
737 |
736 |
$16K |
| 90619 |
|
97 |
97 |
$11K |
| 92552 |
|
3,827 |
3,811 |
$11K |
| 99442 |
|
498 |
466 |
$10K |
| 3008F |
|
6,564 |
6,508 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
854 |
819 |
$8K |
| 83655 |
|
1,067 |
1,043 |
$8K |
| 90686 |
|
1,962 |
1,940 |
$8K |
| 90670 |
|
540 |
532 |
$7K |
| 90734 |
|
300 |
299 |
$7K |
| 99443 |
|
200 |
187 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
422 |
214 |
$4K |
| 36416 |
|
3,415 |
2,001 |
$4K |
| 90688 |
|
359 |
357 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
92 |
90 |
$4K |
| 99173 |
|
6,659 |
6,637 |
$4K |
| 90716 |
|
56 |
54 |
$2K |
| 90620 |
|
37 |
36 |
$2K |
| 90656 |
|
314 |
312 |
$2K |
| 90715 |
|
164 |
164 |
$2K |
| 90633 |
|
400 |
382 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
55 |
55 |
$1K |
| 90707 |
|
58 |
57 |
$1K |
| 90680 |
|
382 |
377 |
$1K |
| 99383 |
|
13 |
13 |
$874.12 |
| 90621 |
|
26 |
25 |
$823.86 |
| 92558 |
|
477 |
468 |
$780.36 |
| 96160 |
|
1,354 |
1,337 |
$680.65 |
| 92551 |
|
821 |
821 |
$407.40 |
| 99381 |
|
16 |
13 |
$362.13 |
| 90744 |
|
273 |
266 |
$302.89 |
| 90700 |
|
37 |
37 |
$230.23 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
898 |
891 |
$150.28 |
| 92550 |
|
16 |
16 |
$125.21 |
| 90698 |
|
444 |
438 |
$103.68 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$74.31 |
| D1206 |
Topical application of fluoride varnish |
1,083 |
1,080 |
$60.00 |
| 99000 |
|
1,109 |
1,073 |
$0.00 |
| 99070 |
|
236 |
217 |
$0.00 |
| 90696 |
|
29 |
25 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| 99072 |
|
96 |
90 |
$0.00 |