| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,209 |
10,687 |
$525K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,058 |
2,046 |
$184K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,738 |
4,559 |
$156K |
| 86328 |
|
3,505 |
3,410 |
$155K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,012 |
6,943 |
$139K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,688 |
1,682 |
$137K |
| 99215 |
Prolong outpt/office vis |
1,263 |
1,238 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,071 |
1,068 |
$84K |
| 99000 |
|
9,001 |
8,651 |
$79K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,754 |
2,811 |
$79K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,233 |
3,162 |
$44K |
| 92551 |
|
3,975 |
3,946 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
412 |
407 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
589 |
582 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
300 |
299 |
$23K |
| 99401 |
|
1,508 |
1,467 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,816 |
1,800 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,043 |
1,006 |
$12K |
| 90461 |
|
3,124 |
1,075 |
$12K |
| 81002 |
|
3,148 |
3,034 |
$9K |
| 0001A |
|
205 |
200 |
$8K |
| 81025 |
|
1,143 |
1,096 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
95 |
$8K |
| 93000 |
|
721 |
710 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
315 |
312 |
$7K |
| 0002A |
|
130 |
130 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
63 |
63 |
$5K |
| 0071A |
|
102 |
101 |
$4K |
| 96160 |
|
2,232 |
2,216 |
$3K |
| 99384 |
|
25 |
25 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
180 |
170 |
$2K |
| 0072A |
|
44 |
44 |
$2K |
| 90688 |
|
470 |
462 |
$1K |
| 90686 |
|
2,772 |
2,748 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
21 |
21 |
$1K |
| 90656 |
|
356 |
356 |
$605.87 |
| 0003A |
|
16 |
16 |
$542.20 |
| 82947 |
|
172 |
166 |
$540.13 |
| 90715 |
|
316 |
309 |
$330.28 |
| 97169 |
|
57 |
57 |
$305.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
318 |
318 |
$211.02 |
| 91307 |
|
208 |
197 |
$1.37 |
| 91300 |
|
468 |
416 |
$0.87 |
| 90671 |
|
106 |
106 |
$0.37 |
| 90697 |
|
46 |
46 |
$0.07 |
| 90672 |
|
134 |
134 |
$0.04 |
| 90685 |
|
83 |
82 |
$0.00 |
| 90648 |
|
105 |
105 |
$0.00 |
| 90734 |
|
987 |
972 |
$0.00 |
| 90670 |
|
521 |
520 |
$0.00 |
| 90633 |
|
415 |
414 |
$0.00 |
| 90707 |
|
84 |
84 |
$0.00 |
| 90710 |
|
93 |
93 |
$0.00 |
| 99173 |
|
160 |
157 |
$0.00 |
| 3078F |
|
181 |
170 |
$0.00 |
| 90621 |
|
220 |
215 |
$0.00 |
| 90681 |
|
24 |
24 |
$0.00 |
| 90700 |
|
94 |
94 |
$0.00 |
| 99072 |
|
73 |
73 |
$0.00 |
| 1160F |
|
89 |
86 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
12 |
12 |
$0.00 |
| 90651 |
|
869 |
864 |
$0.00 |
| 90620 |
|
446 |
446 |
$0.00 |
| 90680 |
|
86 |
86 |
$0.00 |
| 90696 |
|
27 |
27 |
$0.00 |
| 3074F |
|
114 |
110 |
$0.00 |
| 90716 |
|
84 |
84 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
19 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90732 |
|
69 |
68 |
$0.00 |
| 97802 |
|
33 |
33 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |