| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,324 |
9,432 |
$642K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,695 |
6,228 |
$628K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,988 |
1,943 |
$179K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,793 |
1,712 |
$157K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,093 |
1,050 |
$91K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,972 |
3,789 |
$79K |
| 99215 |
Prolong outpt/office vis |
562 |
535 |
$71K |
| 97802 |
|
2,220 |
2,145 |
$54K |
| 90461 |
|
2,108 |
1,994 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
482 |
444 |
$43K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
899 |
872 |
$37K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,804 |
1,785 |
$35K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
783 |
751 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,598 |
1,314 |
$29K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,075 |
1,038 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,109 |
1,059 |
$15K |
| 85018 |
|
4,043 |
3,920 |
$10K |
| 90651 |
|
193 |
175 |
$9K |
| 92551 |
|
1,921 |
1,849 |
$8K |
| 87449 |
|
547 |
515 |
$7K |
| 96127 |
|
822 |
757 |
$6K |
| 96160 |
|
634 |
579 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
532 |
511 |
$5K |
| 94760 |
|
4,980 |
4,407 |
$4K |
| 83655 |
|
197 |
193 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
197 |
160 |
$3K |
| 80061 |
Lipid panel |
215 |
211 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
48 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
335 |
316 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
537 |
506 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
26 |
26 |
$2K |
| G9153 |
Mapcp demonstration - physician incentive pool |
42 |
42 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 96161 |
|
210 |
197 |
$1K |
| 90686 |
|
995 |
946 |
$1K |
| 88738 |
|
307 |
301 |
$1K |
| 99188 |
|
56 |
55 |
$882.26 |
| 87807 |
|
54 |
51 |
$731.32 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
84 |
67 |
$320.02 |
| 94664 |
|
27 |
26 |
$315.54 |
| 81002 |
|
69 |
68 |
$202.22 |
| 90681 |
|
46 |
43 |
$138.09 |
| 90474 |
|
21 |
18 |
$99.76 |
| 90723 |
|
82 |
79 |
$89.01 |
| 99177 |
|
17 |
17 |
$53.92 |
| 90647 |
|
71 |
67 |
$31.33 |
| 90715 |
|
33 |
29 |
$0.00 |
| 90633 |
|
270 |
261 |
$0.00 |
| 99173 |
|
112 |
110 |
$0.00 |
| 90670 |
|
549 |
516 |
$0.00 |
| 90734 |
|
21 |
17 |
$0.00 |
| 90707 |
|
77 |
71 |
$0.00 |
| 90716 |
|
94 |
85 |
$0.00 |
| 90698 |
|
197 |
186 |
$0.00 |
| 36416 |
|
536 |
515 |
$0.00 |
| 90696 |
|
30 |
30 |
$0.00 |
| 90680 |
|
90 |
82 |
$0.00 |
| 90744 |
|
68 |
63 |
$0.00 |