| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,377 |
4,864 |
$669K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,065 |
7,008 |
$518K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,417 |
2,201 |
$269K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,025 |
1,943 |
$253K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,854 |
1,760 |
$225K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,359 |
1,248 |
$164K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,942 |
3,756 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
557 |
499 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,135 |
1,971 |
$11K |
| 92552 |
|
1,890 |
1,729 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,526 |
2,337 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,004 |
943 |
$5K |
| 99383 |
|
26 |
26 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
72 |
64 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
12 |
$1K |
| 94664 |
|
350 |
326 |
$1K |
| 90651 |
|
550 |
541 |
$1K |
| 90620 |
|
318 |
305 |
$673.64 |
| 97802 |
|
6,594 |
6,079 |
$540.67 |
| 90698 |
|
480 |
471 |
$473.11 |
| 90700 |
|
138 |
122 |
$420.18 |
| 90734 |
|
301 |
298 |
$270.04 |
| 81002 |
|
776 |
699 |
$214.84 |
| 90715 |
|
46 |
44 |
$168.02 |
| 90658 |
|
113 |
109 |
$163.92 |
| 90633 |
|
442 |
427 |
$163.58 |
| 90744 |
|
147 |
144 |
$118.02 |
| 94750 |
|
108 |
99 |
$107.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
608 |
569 |
$90.00 |
| 90686 |
|
58 |
58 |
$57.03 |
| 93000 |
|
18 |
18 |
$52.86 |
| 90713 |
|
120 |
102 |
$40.01 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,527 |
4,228 |
$29.96 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
353 |
336 |
$20.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
21 |
17 |
$10.60 |
| 90670 |
|
844 |
818 |
$0.00 |
| 90710 |
|
54 |
54 |
$0.00 |
| 90648 |
|
48 |
43 |
$0.00 |
| 90619 |
|
57 |
53 |
$0.00 |
| 90680 |
|
348 |
342 |
$0.00 |
| 90677 |
|
134 |
132 |
$0.00 |
| 90716 |
|
64 |
63 |
$0.00 |