| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,224 |
28,727 |
$1.82M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,409 |
15,313 |
$656K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,344 |
3,086 |
$134K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,153 |
2,076 |
$133K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,527 |
1,452 |
$83K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
767 |
707 |
$48K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,413 |
1,290 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
368 |
364 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,345 |
1,308 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,502 |
2,398 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
321 |
307 |
$17K |
| 99215 |
Prolong outpt/office vis |
192 |
175 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
136 |
134 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
128 |
121 |
$9K |
| 87634 |
|
190 |
177 |
$8K |
| 90688 |
|
506 |
493 |
$6K |
| 90686 |
|
862 |
829 |
$5K |
| 90671 |
|
59 |
56 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
44 |
41 |
$2K |
| 90633 |
|
231 |
231 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
129 |
127 |
$2K |
| 99406 |
|
179 |
162 |
$2K |
| 90670 |
|
1,129 |
1,080 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
164 |
154 |
$930.27 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
30 |
$769.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
30 |
$742.28 |
| 92551 |
|
117 |
117 |
$713.18 |
| 90698 |
|
595 |
566 |
$589.50 |
| 90656 |
|
61 |
58 |
$438.41 |
| 90474 |
|
44 |
43 |
$313.50 |
| 85018 |
|
107 |
101 |
$224.53 |
| 99173 |
|
71 |
71 |
$181.49 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$174.27 |
| 90680 |
|
423 |
410 |
$108.45 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
68 |
50 |
$86.02 |
| 90744 |
|
176 |
166 |
$73.00 |
| 90685 |
|
80 |
79 |
$31.50 |
| 1036F |
|
10,038 |
9,167 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,271 |
2,052 |
$0.00 |
| 3074F |
|
118 |
113 |
$0.00 |
| 3079F |
|
40 |
38 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
28 |
27 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 90716 |
|
15 |
14 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,988 |
1,818 |
$0.00 |
| 4004F |
|
4,520 |
4,095 |
$0.00 |
| 90461 |
|
752 |
748 |
$0.00 |
| 3078F |
|
28 |
27 |
$0.00 |
| 90707 |
|
15 |
14 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |