| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,840 |
13,361 |
$577K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,723 |
5,259 |
$310K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,885 |
1,771 |
$173K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,925 |
1,834 |
$165K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,697 |
3,995 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,385 |
1,305 |
$109K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
863 |
806 |
$65K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,520 |
1,424 |
$62K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,442 |
2,151 |
$59K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,048 |
1,891 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,972 |
1,805 |
$16K |
| 90461 |
|
2,489 |
1,824 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
407 |
404 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
184 |
143 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
58 |
$3K |
| 96160 |
|
1,107 |
1,059 |
$2K |
| 90734 |
|
532 |
492 |
$1K |
| 90651 |
|
476 |
446 |
$783.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
119 |
93 |
$748.45 |
| 96161 |
|
184 |
171 |
$321.84 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
17 |
$260.46 |
| 90686 |
|
1,122 |
1,059 |
$107.33 |
| 90715 |
|
195 |
183 |
$37.80 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,721 |
2,613 |
$20.00 |
| 90620 |
|
39 |
35 |
$5.00 |
| 90670 |
|
914 |
859 |
$0.01 |
| 90713 |
|
858 |
812 |
$0.01 |
| 90681 |
|
36 |
33 |
$0.01 |
| 90744 |
|
154 |
146 |
$0.00 |
| 90680 |
|
328 |
311 |
$0.00 |
| 90647 |
|
849 |
796 |
$0.00 |
| 90716 |
|
335 |
324 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
15 |
14 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
26 |
15 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 90700 |
|
1,187 |
1,131 |
$0.00 |
| 90633 |
|
428 |
396 |
$0.00 |
| 90707 |
|
370 |
346 |
$0.00 |
| 90649 |
|
82 |
57 |
$0.00 |