| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,318 |
6,479 |
$348K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,749 |
1,710 |
$130K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,722 |
1,661 |
$117K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,175 |
3,989 |
$100K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,605 |
5,943 |
$90K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
657 |
642 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,457 |
1,384 |
$49K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
858 |
829 |
$32K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
406 |
380 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
799 |
776 |
$11K |
| 90461 |
|
3,391 |
912 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
55 |
$5K |
| 17250 |
|
100 |
87 |
$5K |
| 99383 |
|
37 |
37 |
$3K |
| 90671 |
|
102 |
102 |
$3K |
| 81003 |
|
1,355 |
1,306 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
180 |
169 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
129 |
128 |
$1K |
| 99382 |
|
14 |
14 |
$1K |
| 0001A |
|
27 |
26 |
$976.94 |
| 87807 |
|
82 |
79 |
$960.50 |
| 99000 |
|
90 |
87 |
$855.18 |
| 90677 |
|
347 |
339 |
$544.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
53 |
49 |
$501.84 |
| 90686 |
|
684 |
677 |
$1.04 |
| 90381 |
|
28 |
26 |
$0.15 |
| 90380 |
|
35 |
30 |
$0.13 |
| 90619 |
|
13 |
13 |
$0.08 |
| 91300 |
|
44 |
34 |
$0.05 |
| 90734 |
|
13 |
12 |
$0.01 |
| 90698 |
|
633 |
626 |
$0.00 |
| 90680 |
|
963 |
942 |
$0.00 |
| 90716 |
|
105 |
103 |
$0.00 |
| 90744 |
|
79 |
79 |
$0.00 |
| 90696 |
|
39 |
38 |
$0.00 |
| 90651 |
|
101 |
97 |
$0.00 |
| 90723 |
|
121 |
119 |
$0.00 |
| 90648 |
|
565 |
550 |
$0.00 |
| 90670 |
|
1,168 |
1,137 |
$0.00 |
| 90633 |
|
674 |
657 |
$0.00 |
| 90710 |
|
94 |
91 |
$0.00 |
| 90707 |
|
81 |
79 |
$0.00 |
| 90700 |
|
136 |
133 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |