| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,987 |
8,271 |
$1.03M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,632 |
3,516 |
$423K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,251 |
2,243 |
$282K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
70 |
70 |
$216K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,053 |
3,051 |
$102K |
| 99460 |
|
510 |
506 |
$79K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,159 |
4,141 |
$74K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
504 |
501 |
$70K |
| 99462 |
|
950 |
561 |
$64K |
| 76801 |
|
314 |
314 |
$55K |
| 99219 |
|
168 |
143 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
134 |
134 |
$22K |
| 54150 |
|
82 |
82 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
353 |
339 |
$14K |
| 90474 |
|
740 |
740 |
$13K |
| 59425 |
|
14 |
14 |
$12K |
| 99222 |
Initial hospital care, per day, moderate complexity |
42 |
30 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
43 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
241 |
234 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
377 |
372 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
354 |
349 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,024 |
1,002 |
$5K |
| 87807 |
|
95 |
94 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
33 |
$1K |
| 83655 |
|
63 |
62 |
$774.90 |
| 87428 |
|
19 |
19 |
$529.02 |
| 85018 |
|
15 |
14 |
$36.15 |
| 90670 |
|
2,245 |
2,245 |
$0.00 |
| 96160 |
|
1,466 |
1,464 |
$0.00 |
| 90648 |
|
1,428 |
1,428 |
$0.00 |
| 90633 |
|
355 |
355 |
$0.00 |
| 90710 |
|
166 |
166 |
$0.00 |
| 90681 |
|
778 |
778 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| 90723 |
|
814 |
814 |
$0.00 |
| 90698 |
|
130 |
130 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13 |
13 |
$0.00 |