| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74,895 |
57,981 |
$5.10M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37,427 |
33,218 |
$3.69M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,698 |
5,485 |
$508K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,573 |
9,802 |
$468K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,490 |
4,304 |
$441K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,316 |
4,160 |
$388K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,678 |
15,879 |
$376K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,920 |
7,224 |
$363K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20,419 |
13,299 |
$363K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,727 |
3,494 |
$314K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
7,627 |
7,114 |
$191K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,510 |
10,078 |
$128K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
378 |
377 |
$102K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,783 |
9,374 |
$90K |
| 90461 |
|
5,423 |
5,195 |
$65K |
| 36415 |
Collection of venous blood by venipuncture |
9,938 |
9,453 |
$55K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
537 |
500 |
$52K |
| 94664 |
|
3,326 |
3,171 |
$48K |
| 97802 |
|
15,730 |
14,827 |
$48K |
| 90677 |
|
327 |
312 |
$44K |
| 99442 |
|
1,359 |
1,275 |
$41K |
| 95930 |
|
920 |
899 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
349 |
332 |
$39K |
| 99460 |
|
715 |
661 |
$38K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
704 |
648 |
$35K |
| 99188 |
|
1,870 |
1,839 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
468 |
460 |
$31K |
| 92558 |
|
2,959 |
2,907 |
$27K |
| 99401 |
|
831 |
825 |
$25K |
| 99462 |
|
728 |
554 |
$22K |
| 90734 |
|
1,122 |
1,053 |
$22K |
| 90649 |
|
410 |
396 |
$20K |
| 90620 |
|
763 |
682 |
$18K |
| 90671 |
|
190 |
183 |
$15K |
| 90716 |
|
928 |
826 |
$13K |
| 90651 |
|
153 |
143 |
$13K |
| 36410 |
|
877 |
817 |
$11K |
| 90688 |
|
2,097 |
1,913 |
$9K |
| 36406 |
|
644 |
614 |
$9K |
| 90707 |
|
854 |
758 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,259 |
1,114 |
$5K |
| 86580 |
|
796 |
785 |
$5K |
| 90715 |
|
620 |
571 |
$4K |
| 99383 |
|
48 |
46 |
$4K |
| 90700 |
|
2,150 |
1,938 |
$4K |
| 99384 |
|
39 |
39 |
$4K |
| 90670 |
|
531 |
471 |
$3K |
| 96127 |
|
930 |
923 |
$3K |
| 90713 |
|
1,397 |
1,242 |
$3K |
| 90633 |
|
925 |
829 |
$3K |
| 90687 |
|
196 |
193 |
$2K |
| 99173 |
|
1,539 |
1,515 |
$2K |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$2K |
| 99174 |
|
320 |
315 |
$1K |
| 92587 |
|
92 |
89 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
67 |
$1K |
| 99441 |
|
20 |
20 |
$910.45 |
| 90647 |
|
1,047 |
957 |
$890.65 |
| 83655 |
|
530 |
425 |
$806.07 |
| 90681 |
|
530 |
491 |
$797.36 |
| 90744 |
|
785 |
728 |
$749.33 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
200 |
186 |
$696.81 |
| A4558 |
Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz |
205 |
186 |
$308.10 |
| 29540 |
|
15 |
13 |
$295.23 |
| A6411 |
Eye pad, non-sterile, each |
200 |
186 |
$202.50 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
52 |
26 |
$147.38 |
| 99000 |
|
2,066 |
1,809 |
$108.00 |
| 36416 |
|
333 |
326 |
$72.90 |
| 81002 |
|
52 |
51 |
$24.65 |
| 3078F |
|
100 |
86 |
$5.00 |
| 3074F |
|
55 |
52 |
$2.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$0.00 |
| 99072 |
|
84 |
76 |
$0.00 |