| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,335 |
42,789 |
$2.90M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,370 |
9,641 |
$839K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,532 |
9,151 |
$678K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,806 |
8,381 |
$564K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,739 |
4,608 |
$344K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
11,720 |
11,247 |
$287K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,563 |
5,980 |
$279K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
9,247 |
8,149 |
$272K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,561 |
15,845 |
$219K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,092 |
8,987 |
$154K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,534 |
1,497 |
$125K |
| 99381 |
|
1,474 |
1,384 |
$106K |
| 87634 |
|
1,534 |
1,414 |
$92K |
| 92551 |
|
7,722 |
7,477 |
$74K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,970 |
4,495 |
$73K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,507 |
6,268 |
$70K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,875 |
5,358 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
595 |
570 |
$44K |
| 83655 |
|
3,050 |
2,920 |
$37K |
| 99173 |
|
4,616 |
4,434 |
$28K |
| 90670 |
|
4,938 |
4,710 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
238 |
228 |
$20K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
93 |
87 |
$19K |
| 90648 |
|
7,127 |
6,840 |
$18K |
| 36416 |
|
4,275 |
3,930 |
$15K |
| 90723 |
|
5,507 |
5,275 |
$14K |
| 90633 |
|
3,399 |
3,269 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
229 |
216 |
$8K |
| 90686 |
|
2,954 |
2,767 |
$8K |
| 90681 |
|
3,180 |
3,019 |
$8K |
| 90688 |
|
388 |
387 |
$7K |
| 87807 |
|
641 |
595 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
208 |
197 |
$7K |
| 90710 |
|
3,058 |
2,947 |
$6K |
| 99177 |
|
2,007 |
1,968 |
$6K |
| 96127 |
|
1,719 |
1,667 |
$5K |
| 81003 |
|
1,260 |
1,161 |
$3K |
| 88720 |
|
1,144 |
950 |
$3K |
| 90671 |
|
2,303 |
2,209 |
$3K |
| 0001A |
|
51 |
50 |
$1K |
| 87631 |
|
28 |
17 |
$1K |
| 99051 |
|
470 |
434 |
$1K |
| 90700 |
|
1,379 |
1,330 |
$902.57 |
| 96380 |
|
44 |
43 |
$668.34 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
25 |
$373.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
44 |
$331.81 |
| 90696 |
|
1,120 |
1,082 |
$270.66 |
| 90651 |
|
425 |
418 |
$73.48 |
| 90734 |
|
585 |
570 |
$12.64 |
| 0072A |
|
93 |
87 |
$0.54 |
| 0071A |
|
56 |
53 |
$0.31 |
| 91307 |
|
161 |
132 |
$0.03 |
| 90715 |
|
341 |
334 |
$0.03 |
| 90656 |
|
203 |
203 |
$0.00 |
| 91300 |
|
64 |
55 |
$0.00 |