| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,578 |
17,407 |
$863K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,748 |
3,029 |
$230K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,005 |
3,326 |
$230K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,805 |
7,784 |
$223K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,108 |
2,449 |
$172K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,617 |
7,572 |
$111K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,828 |
1,463 |
$86K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,882 |
4,769 |
$82K |
| 92551 |
|
11,668 |
9,341 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,098 |
864 |
$58K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
712 |
549 |
$35K |
| 81003 |
|
13,086 |
9,817 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,063 |
3,961 |
$18K |
| 99051 |
|
1,346 |
1,152 |
$17K |
| 99173 |
|
12,696 |
9,570 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
224 |
196 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
871 |
638 |
$8K |
| 99381 |
|
101 |
87 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
4,389 |
3,276 |
$6K |
| 85018 |
|
3,308 |
2,467 |
$6K |
| 96127 |
|
9,641 |
6,071 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
79 |
69 |
$4K |
| 90474 |
|
500 |
397 |
$4K |
| 99499 |
|
283 |
236 |
$3K |
| 99385 |
|
44 |
41 |
$3K |
| 96161 |
|
980 |
684 |
$3K |
| 0071A |
|
49 |
47 |
$2K |
| 0001A |
|
82 |
49 |
$2K |
| 94760 |
|
8,576 |
6,400 |
$963.51 |
| 0002A |
|
20 |
20 |
$741.60 |
| 0072A |
|
20 |
20 |
$734.95 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
69 |
53 |
$453.99 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
42 |
38 |
$373.01 |
| 81025 |
|
68 |
57 |
$359.67 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
677 |
472 |
$177.04 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
19 |
17 |
$18.54 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
13 |
13 |
$18.46 |
| 90656 |
|
90 |
77 |
$11.18 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
54 |
51 |
$5.04 |
| 90651 |
|
1,230 |
898 |
$0.17 |
| 90700 |
|
284 |
228 |
$0.00 |
| 90715 |
|
521 |
341 |
$0.00 |
| 90734 |
|
901 |
597 |
$0.00 |
| 90633 |
|
1,044 |
740 |
$0.00 |
| 90670 |
|
2,184 |
1,719 |
$0.00 |
| 90671 |
|
468 |
316 |
$0.00 |
| 90707 |
|
50 |
40 |
$0.00 |
| 99001 |
|
516 |
414 |
$0.00 |
| 90710 |
|
88 |
75 |
$0.00 |
| 90648 |
|
730 |
604 |
$0.00 |
| 90713 |
|
84 |
66 |
$0.00 |
| 90685 |
|
79 |
51 |
$0.00 |
| 91300 |
|
93 |
86 |
$0.00 |
| 90686 |
|
1,381 |
936 |
$0.00 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
524 |
420 |
$0.00 |
| 36416 |
|
207 |
126 |
$0.00 |
| 90680 |
|
721 |
578 |
$0.00 |
| 90620 |
|
817 |
559 |
$0.00 |
| 90698 |
|
259 |
225 |
$0.00 |
| 90723 |
|
180 |
156 |
$0.00 |
| 90744 |
|
98 |
89 |
$0.00 |
| 90619 |
|
328 |
269 |
$0.00 |
| 90697 |
|
75 |
49 |
$0.00 |
| 99000 |
|
29 |
19 |
$0.00 |
| 90696 |
|
57 |
50 |
$0.00 |
| 91307 |
|
95 |
83 |
$0.00 |
| 90716 |
|
50 |
40 |
$0.00 |