| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61,061 |
49,836 |
$3.60M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,113 |
22,485 |
$2.25M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,926 |
13,392 |
$1.24M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,898 |
10,070 |
$917K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,844 |
20,328 |
$865K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,115 |
8,861 |
$825K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17,092 |
15,170 |
$458K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,565 |
4,185 |
$389K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25,928 |
23,030 |
$333K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19,724 |
17,223 |
$266K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16,800 |
7,574 |
$254K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,713 |
1,063 |
$148K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,044 |
2,723 |
$109K |
| 99381 |
|
1,164 |
1,041 |
$93K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,352 |
4,765 |
$33K |
| 99383 |
|
332 |
315 |
$32K |
| 99382 |
|
304 |
293 |
$29K |
| 99188 |
|
2,912 |
2,432 |
$24K |
| 83655 |
|
1,665 |
1,321 |
$20K |
| 96127 |
|
5,726 |
5,223 |
$19K |
| 87807 |
|
1,344 |
1,131 |
$16K |
| 36416 |
|
5,059 |
4,498 |
$14K |
| 85018 |
|
5,197 |
4,602 |
$12K |
| 99401 |
|
316 |
267 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
170 |
148 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
57 |
50 |
$3K |
| 90670 |
|
7,823 |
6,840 |
$2K |
| 87631 |
|
16 |
12 |
$2K |
| 99460 |
|
31 |
26 |
$2K |
| 0071A |
|
124 |
53 |
$1K |
| 0072A |
|
83 |
45 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 81002 |
|
328 |
285 |
$948.04 |
| 90651 |
|
1,136 |
1,037 |
$834.36 |
| 90716 |
|
1,381 |
1,200 |
$471.20 |
| 90633 |
|
5,438 |
4,793 |
$313.74 |
| 90680 |
|
5,333 |
4,735 |
$262.37 |
| 90723 |
|
6,138 |
5,433 |
$232.49 |
| 90710 |
|
2,207 |
1,971 |
$209.38 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
12 |
$208.78 |
| 90686 |
|
5,864 |
5,294 |
$206.62 |
| 90620 |
|
180 |
175 |
$160.00 |
| 90734 |
|
1,248 |
1,154 |
$143.54 |
| 90647 |
|
5,911 |
5,274 |
$84.98 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
50 |
42 |
$70.44 |
| 90715 |
|
584 |
529 |
$53.07 |
| 90700 |
|
1,018 |
926 |
$51.18 |
| 90696 |
|
1,691 |
1,500 |
$50.09 |
| 90685 |
|
606 |
519 |
$38.51 |
| 96161 |
|
13 |
13 |
$32.11 |
| 90707 |
|
1,316 |
1,147 |
$26.51 |
| 90744 |
|
65 |
60 |
$25.33 |
| 90658 |
|
357 |
347 |
$0.01 |
| 90671 |
|
1,198 |
1,133 |
$0.00 |
| 91307 |
|
221 |
140 |
$0.00 |
| 90698 |
|
88 |
78 |
$0.00 |