| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,539 |
17,614 |
$1.07M |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22,650 |
10,658 |
$311K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,883 |
2,869 |
$263K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,118 |
3,094 |
$260K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
6,314 |
5,912 |
$254K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,669 |
6,292 |
$241K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,372 |
2,342 |
$189K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,489 |
11,762 |
$170K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,584 |
1,498 |
$120K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,851 |
5,454 |
$109K |
| 99429 |
|
1,545 |
1,522 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
459 |
454 |
$40K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
298 |
280 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,606 |
2,005 |
$21K |
| 90461 |
|
3,009 |
2,556 |
$16K |
| 95117 |
|
1,730 |
743 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
719 |
331 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
115 |
113 |
$7K |
| 99381 |
|
66 |
65 |
$5K |
| 94010 |
|
119 |
107 |
$3K |
| 99383 |
|
31 |
31 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
215 |
178 |
$3K |
| 99384 |
|
16 |
16 |
$2K |
| 69210 |
|
48 |
27 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
12 |
$276.99 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
26 |
25 |
$141.69 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$83.97 |
| 96160 |
|
27 |
27 |
$54.00 |
| 90670 |
|
946 |
933 |
$5.38 |
| 90619 |
|
397 |
386 |
$2.04 |
| 90656 |
|
1,245 |
1,224 |
$2.02 |
| 90671 |
|
286 |
284 |
$1.39 |
| 90734 |
|
465 |
461 |
$0.83 |
| 90677 |
|
195 |
190 |
$0.55 |
| 90715 |
|
445 |
434 |
$0.52 |
| 90697 |
|
112 |
112 |
$0.50 |
| 90688 |
|
457 |
451 |
$0.18 |
| 90651 |
|
457 |
454 |
$0.12 |
| 90623 |
|
33 |
33 |
$0.11 |
| 90633 |
|
857 |
850 |
$0.08 |
| 90710 |
|
452 |
445 |
$0.07 |
| 90680 |
|
785 |
775 |
$0.07 |
| 90707 |
|
95 |
95 |
$0.02 |
| 90744 |
|
459 |
458 |
$0.02 |
| 90716 |
|
100 |
100 |
$0.02 |
| 97802 |
|
193 |
193 |
$0.01 |
| 90655 |
|
85 |
85 |
$0.00 |
| 90648 |
|
52 |
51 |
$0.00 |
| 90700 |
|
69 |
68 |
$0.00 |
| 90649 |
|
30 |
30 |
$0.00 |
| 90698 |
|
956 |
942 |
$0.00 |
| 90696 |
|
227 |
227 |
$0.00 |