| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,228 |
1,155 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,394 |
3,877 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
760 |
697 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,453 |
1,852 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,515 |
3,107 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
305 |
299 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,345 |
1,987 |
$20K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
395 |
371 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
51 |
$5K |
| 90461 |
|
1,273 |
1,031 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
39 |
$2K |
| 87420 |
|
178 |
163 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
299 |
290 |
$1K |
| 99429 |
|
37 |
29 |
$861.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
505 |
482 |
$853.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
320 |
311 |
$511.52 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
46 |
46 |
$473.48 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
31 |
29 |
$220.36 |
| 96160 |
|
74 |
67 |
$154.65 |
| 92587 |
|
911 |
888 |
$129.50 |
| S8301 |
Infection control supplies, not otherwise specified |
19 |
18 |
$126.02 |
| 87807 |
|
13 |
12 |
$24.20 |
| 99173 |
|
143 |
143 |
$0.00 |
| 90670 |
|
474 |
431 |
$0.00 |
| 99177 |
|
1,178 |
1,139 |
$0.00 |
| 90633 |
|
79 |
76 |
$0.00 |
| 90671 |
|
104 |
100 |
$0.00 |
| 90687 |
|
47 |
41 |
$0.00 |
| 92552 |
|
15 |
15 |
$0.00 |
| 90647 |
|
248 |
222 |
$0.00 |
| 90688 |
|
448 |
435 |
$0.00 |
| 90680 |
|
190 |
172 |
$0.00 |
| 90656 |
|
95 |
94 |
$0.00 |
| 90723 |
|
245 |
224 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
16 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
14 |
13 |
$0.00 |
| 94760 |
|
193 |
174 |
$0.00 |