| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,267 |
5,247 |
$613K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,319 |
7,001 |
$537K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,043 |
4,665 |
$224K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,839 |
1,730 |
$178K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,958 |
1,763 |
$176K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
803 |
749 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,673 |
1,460 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
439 |
392 |
$44K |
| 99429 |
|
2,923 |
2,048 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,293 |
598 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
901 |
812 |
$13K |
| 96127 |
|
1,959 |
1,653 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
203 |
201 |
$8K |
| 99401 |
|
347 |
333 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
645 |
509 |
$7K |
| 69210 |
|
145 |
124 |
$5K |
| 94760 |
|
1,116 |
935 |
$5K |
| 96160 |
|
924 |
863 |
$3K |
| 99173 |
|
1,285 |
1,138 |
$3K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
2,092 |
1,953 |
$3K |
| 99491 |
Ccm add 20min |
52 |
51 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
15 |
15 |
$3K |
| 96161 |
|
726 |
678 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,904 |
1,817 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
58 |
57 |
$2K |
| 90672 |
|
328 |
303 |
$2K |
| 85018 |
|
576 |
526 |
$2K |
| 90670 |
|
1,267 |
1,196 |
$2K |
| D1206 |
Topical application of fluoride varnish |
66 |
61 |
$1K |
| 99460 |
|
15 |
14 |
$1K |
| 92551 |
|
395 |
338 |
$1K |
| 90671 |
|
61 |
60 |
$840.00 |
| 99406 |
|
132 |
128 |
$792.80 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$779.02 |
| 99408 |
|
93 |
91 |
$624.08 |
| 99188 |
|
20 |
17 |
$332.46 |
| 80061 |
Lipid panel |
15 |
14 |
$233.37 |
| 90686 |
|
1,336 |
1,229 |
$225.83 |
| 90681 |
|
174 |
167 |
$204.97 |
| 90648 |
|
854 |
801 |
$153.11 |
| 2014F |
|
17 |
15 |
$112.50 |
| 81002 |
|
27 |
25 |
$91.15 |
| 90633 |
|
246 |
225 |
$87.72 |
| 90723 |
|
777 |
719 |
$66.00 |
| 90660 |
|
47 |
43 |
$26.40 |
| 36416 |
|
113 |
105 |
$10.00 |
| 90651 |
|
112 |
105 |
$4.55 |
| 5250F |
|
17 |
12 |
$0.90 |
| 90734 |
|
39 |
38 |
$0.00 |
| 90619 |
|
40 |
40 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |