| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,033 |
16,075 |
$1.53M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,220 |
11,463 |
$701K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,944 |
3,888 |
$244K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,669 |
3,619 |
$228K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,469 |
2,416 |
$157K |
| 90686 |
|
3,108 |
3,061 |
$59K |
| 90648 |
|
2,991 |
2,964 |
$58K |
| 90670 |
|
2,810 |
2,782 |
$54K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,874 |
2,163 |
$46K |
| 90723 |
|
2,082 |
2,063 |
$41K |
| 90680 |
|
2,077 |
2,057 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
627 |
619 |
$40K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,048 |
1,979 |
$27K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,004 |
996 |
$26K |
| 99173 |
|
6,006 |
5,850 |
$25K |
| 96127 |
|
5,882 |
5,706 |
$24K |
| 92551 |
|
5,069 |
4,922 |
$23K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
882 |
858 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,387 |
2,366 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
242 |
226 |
$21K |
| 90633 |
|
1,060 |
1,047 |
$20K |
| 90671 |
|
660 |
649 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
209 |
201 |
$12K |
| 83655 |
|
770 |
759 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
70 |
$10K |
| 99401 |
|
295 |
284 |
$9K |
| 90674 |
|
491 |
486 |
$9K |
| 90661 |
|
290 |
285 |
$8K |
| 90651 |
|
378 |
368 |
$7K |
| 36416 |
|
2,400 |
2,321 |
$5K |
| 90685 |
|
170 |
165 |
$3K |
| 96119 |
|
76 |
69 |
$3K |
| 90734 |
|
136 |
134 |
$3K |
| 87807 |
|
242 |
237 |
$3K |
| 96161 |
|
1,315 |
1,299 |
$2K |
| 96120 |
|
75 |
68 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
124 |
118 |
$2K |
| 90461 |
|
26 |
26 |
$2K |
| 90710 |
|
87 |
86 |
$2K |
| D1206 |
Topical application of fluoride varnish |
84 |
82 |
$2K |
| 90696 |
|
86 |
85 |
$2K |
| 90707 |
|
77 |
77 |
$2K |
| 99383 |
|
29 |
28 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 90716 |
|
77 |
77 |
$1K |
| 92015 |
Determination of refractive state |
190 |
184 |
$1K |
| 99382 |
|
25 |
25 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
96 |
73 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$1K |
| 90700 |
|
65 |
65 |
$1K |
| D0145 |
Oral evaluation for a patient under three years of age |
56 |
56 |
$1K |
| 90672 |
|
66 |
65 |
$1K |
| 96132 |
|
12 |
12 |
$1K |
| 99461 |
|
14 |
14 |
$1K |
| 99381 |
|
12 |
12 |
$840.00 |
| 99384 |
|
12 |
12 |
$672.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
21 |
$640.05 |
| 90715 |
|
28 |
27 |
$534.33 |
| 90677 |
|
28 |
27 |
$514.54 |
| 90660 |
|
16 |
16 |
$316.64 |
| 96138 |
|
12 |
12 |
$284.68 |
| 90698 |
|
16 |
16 |
$277.06 |
| 87400 |
|
32 |
16 |
$160.00 |
| 85018 |
|
252 |
250 |
$99.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$93.60 |
| 81002 |
|
28 |
26 |
$78.00 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$48.00 |
| 85014 |
|
26 |
26 |
$15.00 |
| 99051 |
|
222 |
221 |
$0.00 |
| 99050 |
|
13 |
13 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
13 |
$0.00 |