| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,106 |
7,411 |
$365K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,174 |
3,919 |
$274K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,660 |
3,385 |
$243K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,949 |
3,737 |
$239K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,688 |
2,537 |
$177K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,108 |
1,945 |
$148K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,532 |
5,104 |
$96K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,607 |
6,551 |
$95K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,206 |
2,715 |
$79K |
| 92551 |
|
2,690 |
2,502 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,311 |
1,955 |
$15K |
| 90473 |
|
1,643 |
1,464 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
781 |
363 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
161 |
133 |
$9K |
| 96161 |
|
2,770 |
2,333 |
$9K |
| 99381 |
|
64 |
64 |
$5K |
| 99173 |
|
2,948 |
2,624 |
$4K |
| 96127 |
|
2,476 |
2,117 |
$4K |
| 99051 |
|
284 |
246 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
183 |
178 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
55 |
46 |
$1K |
| 99050 |
|
93 |
79 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
90 |
86 |
$1K |
| 96160 |
|
3,952 |
3,036 |
$392.04 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
24 |
24 |
$242.40 |
| 90734 |
|
590 |
511 |
$147.74 |
| 90672 |
|
211 |
192 |
$90.00 |
| 90670 |
|
3,293 |
2,944 |
$75.00 |
| 85018 |
|
1,898 |
1,478 |
$18.90 |
| 90723 |
|
2,647 |
2,329 |
$0.00 |
| 90716 |
|
279 |
261 |
$0.00 |
| 90647 |
|
2,499 |
2,261 |
$0.00 |
| 90686 |
|
1,234 |
1,105 |
$0.00 |
| 90696 |
|
198 |
172 |
$0.00 |
| 90620 |
|
13 |
12 |
$0.00 |
| 3008F |
|
2,650 |
2,228 |
$0.00 |
| 90651 |
|
138 |
113 |
$0.00 |
| 90677 |
|
97 |
85 |
$0.00 |
| 90660 |
|
125 |
120 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
13 |
12 |
$0.00 |
| 90681 |
|
1,475 |
1,303 |
$0.00 |
| 90633 |
|
1,480 |
1,303 |
$0.00 |
| 90700 |
|
258 |
249 |
$0.00 |
| 90649 |
|
612 |
555 |
$0.00 |
| 90685 |
|
425 |
395 |
$0.00 |
| 90707 |
|
297 |
276 |
$0.00 |
| 90710 |
|
177 |
146 |
$0.00 |
| 90715 |
|
57 |
52 |
$0.00 |