| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,687 |
12,292 |
$1.71M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,015 |
15,125 |
$1.45M |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,625 |
262 |
$437K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,748 |
2,392 |
$260K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,436 |
2,005 |
$208K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,015 |
1,829 |
$201K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,238 |
1,050 |
$126K |
| 92552 |
|
4,193 |
3,746 |
$95K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,476 |
5,807 |
$55K |
| 99215 |
Prolong outpt/office vis |
386 |
286 |
$54K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
214 |
197 |
$52K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,116 |
993 |
$40K |
| 90648 |
|
1,929 |
1,662 |
$37K |
| 90686 |
|
1,699 |
1,496 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
368 |
207 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
804 |
680 |
$32K |
| 90723 |
|
1,444 |
1,200 |
$27K |
| 90670 |
|
1,374 |
1,115 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
192 |
175 |
$22K |
| 90633 |
|
1,047 |
911 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,582 |
1,116 |
$20K |
| 90671 |
|
608 |
534 |
$20K |
| D1206 |
Topical application of fluoride varnish |
825 |
697 |
$17K |
| 99174 |
|
2,961 |
2,567 |
$15K |
| 90651 |
|
640 |
571 |
$14K |
| 90710 |
|
658 |
569 |
$13K |
| 99173 |
|
4,551 |
4,071 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,177 |
760 |
$9K |
| 90734 |
|
358 |
328 |
$8K |
| 90681 |
|
374 |
304 |
$7K |
| 96127 |
|
1,533 |
1,341 |
$7K |
| 96161 |
|
2,738 |
2,084 |
$6K |
| 90680 |
|
263 |
219 |
$5K |
| 99383 |
|
50 |
42 |
$5K |
| 90700 |
|
202 |
173 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
26 |
$4K |
| 87807 |
|
481 |
306 |
$3K |
| 96160 |
|
1,113 |
963 |
$3K |
| 90715 |
|
116 |
111 |
$3K |
| 81002 |
|
1,412 |
936 |
$2K |
| 90672 |
|
88 |
77 |
$2K |
| 99050 |
|
128 |
113 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$2K |
| 90620 |
|
47 |
40 |
$975.55 |
| 90696 |
|
47 |
44 |
$954.48 |
| 90713 |
|
43 |
40 |
$931.20 |
| 91321 |
|
15 |
13 |
$853.14 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
12 |
$807.40 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
148 |
45 |
$779.62 |
| 94760 |
|
511 |
355 |
$735.80 |
| 90716 |
|
13 |
13 |
$302.64 |
| 90707 |
|
12 |
12 |
$279.36 |
| 80305 |
|
40 |
29 |
$270.78 |
| 99401 |
|
16 |
14 |
$256.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
12 |
$23.28 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
522 |
446 |
$6.00 |
| 36416 |
|
46 |
38 |
$0.00 |
| 90461 |
|
73 |
64 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
213 |
175 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
239 |
216 |
$0.00 |