| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,981 |
6,279 |
$538K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,095 |
3,750 |
$201K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,829 |
1,828 |
$164K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,811 |
1,809 |
$163K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,492 |
1,472 |
$125K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,085 |
1,084 |
$98K |
| 99215 |
Prolong outpt/office vis |
920 |
668 |
$96K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
741 |
735 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,592 |
1,548 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,280 |
637 |
$16K |
| 90686 |
|
892 |
878 |
$3K |
| 90648 |
|
1,004 |
996 |
$3K |
| 90670 |
|
680 |
673 |
$2K |
| 92551 |
|
2,398 |
2,397 |
$2K |
| 90723 |
|
710 |
705 |
$2K |
| 90680 |
|
600 |
596 |
$1K |
| 90633 |
|
399 |
398 |
$1K |
| 87807 |
|
89 |
87 |
$1K |
| 99173 |
|
1,422 |
1,421 |
$1K |
| 0071A |
|
17 |
17 |
$748.00 |
| 0072A |
|
15 |
15 |
$660.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,601 |
1,596 |
$638.95 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$466.85 |
| 99051 |
|
16 |
16 |
$448.00 |
| 81002 |
|
122 |
117 |
$408.09 |
| 96127 |
|
1,501 |
1,501 |
$344.08 |
| 99177 |
|
589 |
589 |
$315.85 |
| 90651 |
|
266 |
266 |
$308.00 |
| 96160 |
|
1,501 |
1,501 |
$282.42 |
| 90710 |
|
24 |
24 |
$254.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$185.63 |
| 90734 |
|
12 |
12 |
$144.00 |
| 85018 |
|
394 |
394 |
$132.48 |
| 80061 |
Lipid panel |
98 |
98 |
$108.90 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
58 |
54 |
$1.32 |
| 90677 |
|
316 |
316 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
12 |
$0.00 |
| 96161 |
|
1,191 |
1,185 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
430 |
421 |
$0.00 |
| 90656 |
|
177 |
177 |
$0.00 |
| 90619 |
|
112 |
111 |
$0.00 |
| G9920 |
Screening performed and negative |
946 |
946 |
$0.00 |
| 83655 |
|
190 |
190 |
$0.00 |
| 90661 |
|
18 |
18 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90715 |
|
29 |
29 |
$0.00 |