| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85,162 |
67,505 |
$6.26M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30,355 |
24,679 |
$3.79M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26,296 |
22,835 |
$3.70M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,224 |
22,888 |
$3.06M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,358 |
9,609 |
$1.33M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
124,323 |
48,432 |
$436K |
| 99460 |
|
4,965 |
4,194 |
$408K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,035 |
1,691 |
$244K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
4,213 |
3,027 |
$230K |
| 99221 |
|
1,711 |
1,400 |
$141K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,859 |
2,450 |
$122K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,084 |
2,848 |
$101K |
| 54150 |
|
1,394 |
1,043 |
$83K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,014 |
1,646 |
$79K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
49,805 |
42,145 |
$75K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,125 |
830 |
$57K |
| 92587 |
|
5,005 |
4,703 |
$41K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
7,897 |
6,453 |
$41K |
| 99188 |
|
9,458 |
8,407 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15,208 |
6,261 |
$27K |
| 99462 |
|
846 |
704 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,156 |
7,176 |
$16K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
695 |
490 |
$15K |
| 83655 |
|
3,584 |
3,048 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,351 |
5,343 |
$8K |
| 90670 |
|
15,080 |
12,887 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
947 |
798 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
744 |
577 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
47 |
41 |
$5K |
| 99177 |
|
14,191 |
12,066 |
$5K |
| 90686 |
|
10,644 |
9,747 |
$4K |
| 97802 |
|
29,134 |
24,522 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$2K |
| 90698 |
|
13,832 |
12,031 |
$1K |
| 96380 |
|
101 |
96 |
$1K |
| 90633 |
|
4,887 |
4,135 |
$1K |
| 99174 |
|
221 |
207 |
$1K |
| 85018 |
|
1,503 |
1,315 |
$921.93 |
| 92551 |
|
9,835 |
7,959 |
$913.93 |
| 90688 |
|
547 |
531 |
$810.64 |
| 92588 |
|
1,723 |
1,359 |
$715.58 |
| 90680 |
|
8,490 |
7,605 |
$707.56 |
| 99173 |
|
16,657 |
13,964 |
$619.64 |
| 87070 |
|
928 |
881 |
$619.05 |
| 99050 |
|
843 |
820 |
$576.55 |
| 90677 |
|
1,837 |
1,773 |
$574.00 |
| 96160 |
|
4,834 |
3,919 |
$510.08 |
| 90674 |
|
579 |
484 |
$380.00 |
| 90744 |
|
5,377 |
4,533 |
$265.27 |
| 90671 |
|
1,143 |
1,072 |
$238.00 |
| 90651 |
|
86 |
78 |
$238.00 |
| 90696 |
|
48 |
48 |
$232.73 |
| 94760 |
|
1,106 |
910 |
$208.84 |
| 87807 |
|
323 |
293 |
$160.84 |
| 88720 |
|
100 |
57 |
$105.76 |
| 90661 |
|
929 |
852 |
$83.00 |
| 36416 |
|
9,715 |
8,134 |
$60.51 |
| 90381 |
|
15 |
15 |
$60.00 |
| 81002 |
|
369 |
289 |
$57.51 |
| 99070 |
|
9,596 |
7,550 |
$45.30 |
| 96161 |
|
851 |
625 |
$33.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
218 |
216 |
$20.00 |
| 96127 |
|
1,806 |
1,355 |
$19.20 |
| 80061 |
Lipid panel |
134 |
101 |
$12.89 |
| 90656 |
|
290 |
287 |
$10.00 |
| 90461 |
|
707 |
673 |
$0.00 |
| 90707 |
|
214 |
211 |
$0.00 |
| 90648 |
|
63 |
39 |
$0.00 |
| 90681 |
|
153 |
146 |
$0.00 |
| 90700 |
|
99 |
75 |
$0.00 |
| 90672 |
|
45 |
44 |
$0.00 |
| 90685 |
|
26 |
24 |
$0.00 |
| 87634 |
|
12 |
12 |
$0.00 |
| 90710 |
|
108 |
106 |
$0.00 |
| 90687 |
|
83 |
74 |
$0.00 |
| 90621 |
|
13 |
12 |
$0.00 |
| 90716 |
|
232 |
229 |
$0.00 |
| 90619 |
|
26 |
24 |
$0.00 |
| 90697 |
|
26 |
26 |
$0.00 |