| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,701 |
38,312 |
$2.80M |
| 87428 |
|
7,410 |
7,203 |
$504K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,776 |
4,586 |
$502K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,449 |
3,307 |
$342K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,050 |
2,845 |
$278K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,450 |
4,323 |
$253K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,013 |
5,696 |
$249K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,853 |
5,453 |
$168K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,993 |
3,829 |
$139K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,854 |
4,649 |
$108K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,197 |
7,005 |
$107K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,020 |
1,009 |
$105K |
| 96160 |
|
10,901 |
10,173 |
$92K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,592 |
2,467 |
$64K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,981 |
5,566 |
$58K |
| 99429 |
|
2,141 |
1,646 |
$41K |
| 92583 |
|
1,311 |
1,292 |
$40K |
| 95117 |
|
1,881 |
841 |
$32K |
| 80061 |
Lipid panel |
1,893 |
1,852 |
$32K |
| 87081 |
|
4,158 |
4,031 |
$23K |
| 94760 |
|
4,374 |
4,096 |
$22K |
| 87807 |
|
1,454 |
1,405 |
$22K |
| 90461 |
|
1,775 |
1,622 |
$22K |
| 85018 |
|
6,671 |
6,500 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
154 |
151 |
$17K |
| 96127 |
|
2,456 |
2,397 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,123 |
841 |
$14K |
| 99051 |
|
766 |
730 |
$12K |
| 90473 |
|
558 |
519 |
$12K |
| 81002 |
|
2,245 |
2,125 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
989 |
934 |
$6K |
| 96161 |
|
1,579 |
1,507 |
$6K |
| 99381 |
|
45 |
38 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
36 |
36 |
$2K |
| 99460 |
|
24 |
24 |
$2K |
| 99173 |
|
1,985 |
1,904 |
$2K |
| 92587 |
|
43 |
41 |
$2K |
| 87400 |
|
104 |
49 |
$1K |
| 90670 |
|
2,038 |
1,940 |
$1K |
| 90651 |
|
344 |
333 |
$902.07 |
| 69210 |
|
27 |
19 |
$822.93 |
| 92551 |
|
313 |
297 |
$669.01 |
| 99462 |
|
12 |
12 |
$667.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
39 |
$570.76 |
| 90686 |
|
1,647 |
1,622 |
$568.47 |
| 0072A |
|
13 |
13 |
$544.00 |
| 81025 |
|
62 |
55 |
$481.57 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$433.89 |
| 99174 |
|
1,053 |
991 |
$342.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$314.33 |
| 81003 |
|
93 |
85 |
$255.09 |
| 82948 |
|
54 |
51 |
$223.44 |
| 90734 |
|
470 |
458 |
$163.34 |
| 90633 |
|
599 |
570 |
$105.44 |
| 90715 |
|
175 |
169 |
$63.79 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
9,107 |
8,844 |
$22.50 |
| 36416 |
|
354 |
336 |
$8.96 |
| 90677 |
|
62 |
56 |
$0.00 |
| 90723 |
|
1,358 |
1,286 |
$0.00 |
| 90688 |
|
74 |
74 |
$0.00 |
| 90647 |
|
1,441 |
1,362 |
$0.00 |
| 90680 |
|
226 |
220 |
$0.00 |
| 91307 |
|
42 |
38 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90671 |
|
79 |
74 |
$0.00 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
1,332 |
1,266 |
$0.00 |
| 90655 |
|
124 |
113 |
$0.00 |
| 90710 |
|
389 |
378 |
$0.00 |
| 90700 |
|
29 |
26 |
$0.00 |
| 90685 |
|
95 |
90 |
$0.00 |