| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,871 |
21,592 |
$2.31M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,169 |
3,922 |
$452K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,155 |
2,154 |
$199K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,638 |
1,637 |
$153K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,457 |
1,457 |
$148K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,215 |
4,183 |
$108K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,664 |
1,660 |
$82K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
900 |
899 |
$79K |
| 92587 |
|
3,170 |
3,150 |
$63K |
| 99050 |
|
1,421 |
1,310 |
$27K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,492 |
1,443 |
$16K |
| 86769 |
|
316 |
311 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
832 |
783 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
597 |
590 |
$9K |
| 99215 |
Prolong outpt/office vis |
29 |
27 |
$5K |
| 90474 |
|
226 |
226 |
$4K |
| 81025 |
|
461 |
454 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
111 |
110 |
$3K |
| 0072A |
|
61 |
61 |
$2K |
| 0071A |
|
50 |
50 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
30 |
30 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 90473 |
|
65 |
65 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
520 |
487 |
$1K |
| 0001A |
|
12 |
12 |
$480.00 |
| 0002A |
|
12 |
12 |
$480.00 |
| 96160 |
|
2,185 |
2,181 |
$0.01 |
| 90715 |
|
115 |
115 |
$0.01 |
| 90680 |
|
570 |
570 |
$0.00 |
| 90651 |
|
572 |
572 |
$0.00 |
| 90647 |
|
991 |
991 |
$0.00 |
| 90686 |
|
1,010 |
1,010 |
$0.00 |
| 90716 |
|
408 |
408 |
$0.00 |
| 90744 |
|
276 |
276 |
$0.00 |
| 91307 |
|
153 |
133 |
$0.00 |
| 90656 |
|
135 |
135 |
$0.00 |
| 91300 |
|
58 |
55 |
$0.00 |
| 90734 |
|
551 |
551 |
$0.00 |
| 90685 |
|
82 |
82 |
$0.00 |
| 90670 |
|
992 |
992 |
$0.00 |
| 90633 |
|
483 |
483 |
$0.00 |
| 90710 |
|
54 |
54 |
$0.00 |
| 90713 |
|
1,101 |
1,100 |
$0.00 |
| 90700 |
|
1,406 |
1,405 |
$0.00 |
| 90707 |
|
395 |
395 |
$0.00 |