| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,863 |
28,022 |
$1.17M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,283 |
16,290 |
$1.04M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,691 |
13,868 |
$730K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,268 |
10,666 |
$715K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,371 |
8,795 |
$617K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
22,825 |
18,032 |
$550K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,589 |
4,341 |
$293K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
7,844 |
7,078 |
$258K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,942 |
7,236 |
$196K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17,163 |
7,454 |
$183K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,652 |
1,564 |
$112K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,368 |
10,968 |
$101K |
| 87428 |
|
1,469 |
1,346 |
$74K |
| 99177 |
|
12,511 |
11,806 |
$60K |
| 87400 |
|
3,615 |
1,695 |
$32K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
590 |
540 |
$29K |
| 87430 |
|
3,381 |
3,101 |
$28K |
| 99460 |
|
363 |
336 |
$18K |
| 96161 |
|
1,649 |
1,170 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,424 |
1,352 |
$17K |
| 87807 |
|
2,027 |
1,797 |
$16K |
| 83655 |
|
768 |
713 |
$7K |
| 90670 |
|
6,524 |
6,177 |
$7K |
| 87420 |
|
445 |
428 |
$4K |
| 90461 |
|
8,292 |
7,664 |
$3K |
| 96127 |
|
674 |
636 |
$2K |
| 90677 |
|
859 |
798 |
$2K |
| 36416 |
|
2,083 |
1,938 |
$2K |
| 90734 |
|
243 |
229 |
$2K |
| 90716 |
|
1,146 |
1,057 |
$2K |
| 90723 |
|
4,418 |
4,208 |
$2K |
| 99381 |
|
28 |
26 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
33 |
$1K |
| 90686 |
|
1,950 |
1,859 |
$1K |
| 90707 |
|
1,144 |
1,059 |
$1K |
| 85018 |
|
473 |
435 |
$852.67 |
| 90681 |
|
1,238 |
1,187 |
$838.32 |
| 81003 |
|
367 |
322 |
$567.26 |
| 90633 |
|
1,501 |
1,389 |
$455.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
24 |
$380.37 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$289.45 |
| 90647 |
|
1,494 |
1,428 |
$201.42 |
| 90656 |
|
146 |
94 |
$75.17 |
| 99173 |
|
13 |
13 |
$73.98 |
| 90651 |
|
65 |
63 |
$0.00 |
| 90698 |
|
153 |
138 |
$0.00 |
| 90696 |
|
117 |
109 |
$0.00 |
| 94760 |
|
14 |
12 |
$0.00 |
| 90744 |
|
32 |
32 |
$0.00 |
| 90685 |
|
61 |
44 |
$0.00 |
| 90715 |
|
29 |
29 |
$0.00 |