| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,634 |
27,528 |
$1.28M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20,321 |
19,933 |
$429K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,893 |
12,091 |
$416K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,233 |
5,861 |
$388K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,189 |
6,122 |
$358K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,202 |
5,147 |
$324K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,568 |
5,519 |
$309K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,519 |
2,490 |
$133K |
| 90461 |
|
5,109 |
5,029 |
$64K |
| 92551 |
|
5,780 |
5,759 |
$54K |
| 90651 |
|
1,154 |
1,125 |
$43K |
| 3008F |
|
15,791 |
15,543 |
$31K |
| 90734 |
|
1,019 |
1,003 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,443 |
2,399 |
$29K |
| 90686 |
|
6,165 |
6,093 |
$28K |
| 90649 |
|
391 |
391 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,393 |
2,347 |
$27K |
| 36416 |
|
5,914 |
5,830 |
$27K |
| 90677 |
|
440 |
429 |
$26K |
| 92552 |
|
1,967 |
1,963 |
$24K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,117 |
1,111 |
$22K |
| 97802 |
|
4,647 |
4,589 |
$22K |
| 0071A |
|
454 |
452 |
$18K |
| 99173 |
|
10,412 |
10,257 |
$16K |
| 0072A |
|
399 |
399 |
$16K |
| 0001A |
|
388 |
388 |
$14K |
| 0002A |
|
376 |
373 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
790 |
781 |
$13K |
| 96127 |
|
5,446 |
5,382 |
$12K |
| 99381 |
|
215 |
213 |
$11K |
| 90670 |
|
1,024 |
995 |
$10K |
| 90716 |
|
503 |
496 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
125 |
125 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
730 |
665 |
$7K |
| 97803 |
|
298 |
292 |
$6K |
| 90656 |
|
810 |
801 |
$5K |
| 90474 |
|
479 |
475 |
$5K |
| 0004A |
|
108 |
106 |
$4K |
| 90715 |
|
465 |
452 |
$4K |
| 90633 |
|
1,406 |
1,380 |
$4K |
| 90480 |
|
97 |
96 |
$4K |
| 90707 |
|
284 |
278 |
$3K |
| 92588 |
|
90 |
90 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,102 |
1,088 |
$3K |
| 90700 |
|
289 |
279 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
47 |
47 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
34 |
$1K |
| 0074A |
|
40 |
40 |
$1K |
| 0081A |
|
29 |
29 |
$1K |
| 99383 |
|
14 |
12 |
$1K |
| 90680 |
|
550 |
533 |
$900.26 |
| 90647 |
|
653 |
620 |
$881.88 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$850.12 |
| 83655 |
|
1,762 |
1,710 |
$833.94 |
| 0054A |
|
19 |
19 |
$680.00 |
| 90713 |
|
129 |
126 |
$665.97 |
| 0124A |
|
14 |
14 |
$560.00 |
| 90685 |
|
105 |
105 |
$511.16 |
| 87400 |
|
178 |
88 |
$430.43 |
| 94760 |
|
2,590 |
2,284 |
$418.42 |
| 90723 |
|
236 |
227 |
$398.22 |
| 90744 |
|
163 |
163 |
$273.51 |
| 90710 |
|
206 |
201 |
$262.37 |
| 69210 |
|
17 |
15 |
$209.45 |
| 94664 |
|
52 |
50 |
$157.81 |
| 90698 |
|
270 |
268 |
$83.50 |
| 85018 |
|
675 |
655 |
$81.59 |
| 96160 |
|
29 |
29 |
$51.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
33 |
$33.12 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
57 |
56 |
$30.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
36 |
36 |
$18.30 |
| 99072 |
|
1,261 |
1,226 |
$10.50 |
| 81002 |
|
19 |
15 |
$6.23 |
| 99071 |
|
3,968 |
3,810 |
$6.00 |
| 81003 |
|
27 |
27 |
$4.13 |
| 90696 |
|
133 |
130 |
$0.00 |
| 91307 |
|
1,022 |
940 |
$0.00 |
| 91305 |
|
35 |
35 |
$0.00 |
| 91319 |
|
13 |
12 |
$0.00 |
| 91308 |
|
42 |
40 |
$0.00 |
| 91300 |
|
969 |
922 |
$0.00 |
| 91320 |
|
32 |
32 |
$0.00 |
| 91312 |
|
13 |
13 |
$0.00 |