| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,710 |
10,795 |
$1.15M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,703 |
13,014 |
$954K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,629 |
4,228 |
$399K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,749 |
4,066 |
$392K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,850 |
8,118 |
$347K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,672 |
3,354 |
$310K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,321 |
5,389 |
$250K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,124 |
1,028 |
$100K |
| 96127 |
|
11,329 |
8,023 |
$92K |
| 99215 |
Prolong outpt/office vis |
720 |
624 |
$85K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,773 |
4,829 |
$75K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,944 |
1,834 |
$35K |
| 90670 |
|
2,574 |
2,440 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,050 |
1,659 |
$24K |
| 90474 |
|
1,606 |
1,502 |
$17K |
| 90461 |
|
5,177 |
4,776 |
$16K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
64 |
12 |
$14K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,089 |
1,008 |
$11K |
| 90716 |
|
840 |
777 |
$10K |
| 90723 |
|
1,932 |
1,806 |
$8K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
63 |
58 |
$8K |
| 90686 |
|
2,920 |
2,693 |
$6K |
| 90680 |
|
1,630 |
1,524 |
$6K |
| 90707 |
|
794 |
736 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
456 |
432 |
$5K |
| 90651 |
|
254 |
219 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
264 |
254 |
$5K |
| 87807 |
|
479 |
357 |
$4K |
| 90633 |
|
1,211 |
1,120 |
$3K |
| 90688 |
|
1,589 |
1,467 |
$3K |
| 90647 |
|
1,401 |
1,300 |
$2K |
| 81002 |
|
759 |
628 |
$2K |
| 83655 |
|
341 |
252 |
$2K |
| 90671 |
|
255 |
197 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 99000 |
|
692 |
623 |
$1K |
| 90734 |
|
64 |
59 |
$1K |
| 90677 |
|
68 |
66 |
$941.31 |
| 94760 |
|
158 |
130 |
$288.74 |
| 90696 |
|
69 |
65 |
$269.46 |
| 90648 |
|
401 |
394 |
$88.29 |
| 90700 |
|
24 |
24 |
$63.11 |
| 90715 |
|
27 |
24 |
$0.00 |
| 90672 |
|
15 |
15 |
$0.00 |
| 99354 |
|
23 |
23 |
$0.00 |
| 96161 |
|
18 |
15 |
$0.00 |