| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,231 |
10,878 |
$665K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,291 |
3,681 |
$313K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,539 |
3,779 |
$281K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,102 |
3,628 |
$274K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,707 |
2,440 |
$181K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,514 |
1,405 |
$114K |
| 90686 |
|
4,682 |
4,237 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,489 |
3,095 |
$41K |
| 90651 |
|
816 |
744 |
$35K |
| 90670 |
|
1,935 |
1,743 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,878 |
3,337 |
$30K |
| 90700 |
|
1,868 |
1,619 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,208 |
952 |
$15K |
| 90734 |
|
480 |
430 |
$13K |
| 90648 |
|
1,592 |
1,367 |
$13K |
| 90713 |
|
1,162 |
1,045 |
$13K |
| 90680 |
|
1,021 |
887 |
$12K |
| 90633 |
|
1,089 |
945 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
251 |
244 |
$11K |
| 90744 |
|
659 |
578 |
$7K |
| 0071A |
|
226 |
163 |
$6K |
| 90619 |
|
91 |
91 |
$6K |
| 90716 |
|
377 |
320 |
$6K |
| 90707 |
|
392 |
337 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,986 |
6,847 |
$6K |
| 0072A |
|
300 |
180 |
$5K |
| 96127 |
|
1,228 |
1,149 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
39 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
267 |
260 |
$3K |
| 90677 |
|
49 |
48 |
$3K |
| 99381 |
|
42 |
41 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,840 |
4,234 |
$3K |
| 0002A |
|
81 |
78 |
$3K |
| 0001A |
|
90 |
79 |
$3K |
| 87807 |
|
261 |
231 |
$3K |
| 83655 |
|
241 |
208 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,921 |
2,493 |
$2K |
| 90621 |
|
79 |
79 |
$2K |
| 90461 |
|
4,445 |
3,743 |
$2K |
| 90715 |
|
123 |
111 |
$2K |
| 99215 |
Prolong outpt/office vis |
16 |
15 |
$2K |
| 85018 |
|
828 |
738 |
$2K |
| 99441 |
|
56 |
50 |
$2K |
| 90688 |
|
66 |
64 |
$745.06 |
| 36416 |
|
867 |
761 |
$523.12 |
| 99422 |
|
17 |
16 |
$491.73 |
| 90710 |
|
17 |
13 |
$368.03 |
| 90658 |
|
26 |
25 |
$295.08 |
| 86580 |
|
37 |
31 |
$207.29 |
| 81003 |
|
167 |
122 |
$206.63 |
| 90696 |
|
22 |
15 |
$187.63 |
| 99072 |
|
656 |
587 |
$144.60 |
| 99421 |
|
22 |
17 |
$140.14 |
| 90687 |
|
12 |
12 |
$132.00 |
| 96161 |
|
74 |
67 |
$54.96 |
| 91307 |
|
548 |
329 |
$2.07 |
| 91300 |
|
230 |
173 |
$0.16 |
| 91308 |
|
14 |
14 |
$0.10 |