| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,634 |
8,740 |
$480K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,164 |
1,981 |
$176K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,613 |
1,499 |
$133K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,536 |
5,137 |
$115K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,367 |
1,200 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,912 |
2,440 |
$85K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
673 |
564 |
$42K |
| 90461 |
|
427 |
416 |
$33K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
95 |
54 |
$5K |
| 81002 |
|
2,534 |
2,240 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
177 |
146 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
455 |
311 |
$2K |
| H0049 |
Alcohol and/or drug screening |
194 |
166 |
$2K |
| 99460 |
|
33 |
27 |
$2K |
| 90686 |
|
1,712 |
1,640 |
$852.87 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
68 |
66 |
$794.24 |
| 83655 |
|
114 |
91 |
$741.04 |
| 99215 |
Prolong outpt/office vis |
29 |
28 |
$738.04 |
| 87081 |
|
234 |
167 |
$454.44 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
51 |
40 |
$265.70 |
| 90680 |
|
551 |
520 |
$178.76 |
| 90633 |
|
603 |
551 |
$60.00 |
| 85018 |
|
39 |
38 |
$42.72 |
| 90744 |
|
85 |
84 |
$40.00 |
| 90670 |
|
1,038 |
1,011 |
$40.00 |
| 90716 |
|
91 |
80 |
$20.00 |
| 90698 |
|
470 |
463 |
$20.00 |
| 90707 |
|
89 |
78 |
$20.00 |
| 96127 |
|
35 |
26 |
$4.47 |
| 90697 |
|
319 |
291 |
$0.00 |
| 90677 |
|
116 |
109 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
607 |
384 |
$0.00 |
| 90651 |
|
163 |
139 |
$0.00 |
| 90619 |
|
49 |
34 |
$0.00 |
| 90656 |
|
59 |
59 |
$0.00 |
| 90696 |
|
42 |
38 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
75 |
26 |
$0.00 |
| 90672 |
|
65 |
65 |
$0.00 |
| 90671 |
|
142 |
101 |
$0.00 |
| 90710 |
|
45 |
42 |
$0.00 |
| 90621 |
|
17 |
12 |
$0.00 |