| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,354 |
10,783 |
$956K |
| 99199 |
Unlisted special service, procedure or report |
74,555 |
48,861 |
$372K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,686 |
2,181 |
$261K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,145 |
1,696 |
$223K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,268 |
1,872 |
$160K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,662 |
1,963 |
$101K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,672 |
3,775 |
$84K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,378 |
1,952 |
$77K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
708 |
601 |
$68K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,789 |
1,443 |
$50K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
941 |
661 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
174 |
118 |
$17K |
| 96127 |
|
4,091 |
3,269 |
$16K |
| 92552 |
|
2,116 |
1,617 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,352 |
1,088 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
88 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
298 |
257 |
$6K |
| 99215 |
Prolong outpt/office vis |
80 |
75 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
320 |
283 |
$4K |
| 92551 |
|
1,990 |
1,565 |
$4K |
| 81025 |
|
483 |
360 |
$3K |
| 81002 |
|
912 |
634 |
$2K |
| 99173 |
|
3,766 |
2,826 |
$2K |
| 69210 |
|
36 |
27 |
$1K |
| 99172 |
|
1,698 |
1,550 |
$6.00 |
| 3008F |
|
17,667 |
12,497 |
$0.63 |
| 1160F |
|
9,637 |
6,788 |
$0.31 |
| 3044F |
|
30 |
14 |
$0.03 |
| 90734 |
|
874 |
702 |
$0.01 |
| 90621 |
|
1,131 |
926 |
$0.01 |
| 90686 |
|
298 |
257 |
$0.00 |
| 90656 |
|
1,984 |
1,658 |
$0.00 |
| 90696 |
|
84 |
71 |
$0.00 |
| 1036F |
|
92 |
77 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 90649 |
|
1,128 |
877 |
$0.00 |
| 90715 |
|
342 |
285 |
$0.00 |
| 1033F |
|
187 |
176 |
$0.00 |
| 90710 |
|
185 |
166 |
$0.00 |
| 90633 |
|
87 |
78 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 90655 |
|
13 |
13 |
$0.00 |