| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,576 |
6,020 |
$636K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,996 |
8,120 |
$587K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,550 |
3,457 |
$137K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,277 |
1,271 |
$134K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,351 |
1,343 |
$128K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,036 |
2,898 |
$118K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,284 |
3,196 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
734 |
726 |
$69K |
| G9153 |
Mapcp demonstration - physician incentive pool |
1,207 |
1,194 |
$60K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,517 |
3,287 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
473 |
445 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
545 |
522 |
$20K |
| 99188 |
|
661 |
655 |
$8K |
| 92551 |
|
2,096 |
2,064 |
$8K |
| 99177 |
|
1,933 |
1,908 |
$6K |
| 96127 |
|
889 |
881 |
$5K |
| 87807 |
|
247 |
234 |
$2K |
| 94664 |
|
176 |
159 |
$2K |
| 99383 |
|
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
27 |
$720.01 |
| G9762 |
Patient had at least two hpv vaccines (with at least 146 days between the two) or three hpv vaccines on or between the patient's 9th and 13th birthdays |
35 |
33 |
$450.00 |
| 96161 |
|
59 |
49 |
$309.42 |
| 83655 |
|
30 |
29 |
$262.26 |
| 85018 |
|
104 |
103 |
$202.97 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
64 |
62 |
$201.00 |
| 90677 |
|
182 |
177 |
$200.01 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$16.90 |
| 90670 |
|
142 |
133 |
$0.00 |
| 90633 |
|
287 |
277 |
$0.00 |
| 90734 |
|
435 |
423 |
$0.00 |
| 90715 |
|
130 |
127 |
$0.00 |
| 90700 |
|
157 |
155 |
$0.00 |
| 90713 |
|
40 |
40 |
$0.00 |
| 90672 |
|
210 |
210 |
$0.00 |
| 90707 |
|
156 |
155 |
$0.00 |
| 99173 |
|
13 |
12 |
$0.00 |
| 90686 |
|
675 |
670 |
$0.00 |
| 90716 |
|
224 |
222 |
$0.00 |
| 90651 |
|
371 |
366 |
$0.00 |
| 90620 |
|
336 |
335 |
$0.00 |
| 90723 |
|
109 |
100 |
$0.00 |
| 90680 |
|
141 |
139 |
$0.00 |
| 90656 |
|
48 |
48 |
$0.00 |
| 90697 |
|
66 |
64 |
$0.00 |
| 90647 |
|
90 |
84 |
$0.00 |
| 90660 |
|
14 |
14 |
$0.00 |