| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,178 |
4,699 |
$344K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,627 |
1,456 |
$128K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,515 |
1,112 |
$98K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,486 |
1,182 |
$91K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,077 |
1,606 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,802 |
2,183 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
331 |
269 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,489 |
1,280 |
$20K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
609 |
541 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
248 |
215 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
951 |
503 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,618 |
1,499 |
$12K |
| 92551 |
|
1,338 |
996 |
$9K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
86 |
62 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
52 |
$6K |
| 90677 |
|
510 |
432 |
$5K |
| 99382 |
|
43 |
24 |
$3K |
| 90474 |
|
431 |
324 |
$3K |
| 99173 |
|
1,281 |
963 |
$2K |
| 87807 |
|
185 |
167 |
$2K |
| 99383 |
|
20 |
18 |
$1K |
| 96127 |
|
493 |
378 |
$1K |
| 99381 |
|
12 |
12 |
$900.16 |
| 90670 |
|
860 |
620 |
$845.36 |
| 96161 |
|
430 |
319 |
$438.38 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
12 |
$420.02 |
| 81002 |
|
142 |
107 |
$379.32 |
| 90716 |
|
230 |
176 |
$256.01 |
| 90707 |
|
223 |
178 |
$163.21 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
23 |
19 |
$160.28 |
| 90648 |
|
946 |
743 |
$77.00 |
| 90686 |
|
244 |
212 |
$64.05 |
| 96160 |
|
56 |
33 |
$57.39 |
| 90681 |
|
495 |
352 |
$55.00 |
| 90723 |
|
495 |
383 |
$55.00 |
| 90700 |
|
61 |
52 |
$0.00 |
| 90633 |
|
188 |
154 |
$0.00 |
| 90698 |
|
89 |
64 |
$0.00 |
| 90744 |
|
16 |
13 |
$0.00 |
| 90696 |
|
31 |
24 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |