| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,268 |
12,899 |
$975K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,120 |
7,754 |
$773K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,669 |
1,653 |
$157K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,321 |
1,307 |
$123K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,375 |
2,243 |
$107K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,358 |
5,235 |
$92K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,049 |
985 |
$91K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
820 |
814 |
$82K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,683 |
1,642 |
$65K |
| 90461 |
|
1,875 |
1,841 |
$61K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,685 |
3,409 |
$49K |
| 99050 |
|
987 |
955 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,027 |
986 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55 |
54 |
$8K |
| 99442 |
|
265 |
261 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
437 |
399 |
$7K |
| 94010 |
|
273 |
269 |
$7K |
| 96127 |
|
1,768 |
1,718 |
$6K |
| 99177 |
|
1,084 |
1,056 |
$5K |
| 69210 |
|
127 |
124 |
$4K |
| 99051 |
|
132 |
132 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
251 |
244 |
$2K |
| 94664 |
|
119 |
116 |
$1K |
| 0071A |
|
38 |
38 |
$1K |
| 81025 |
|
240 |
232 |
$1K |
| 0001A |
|
26 |
26 |
$1K |
| 81002 |
|
438 |
416 |
$1K |
| 0002A |
|
16 |
16 |
$666.08 |
| 0072A |
|
12 |
12 |
$499.56 |
| 96136 |
|
14 |
14 |
$320.88 |
| 96161 |
|
26 |
25 |
$96.06 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$33.48 |
| 90686 |
|
37 |
37 |
$18.00 |
| 90670 |
|
12 |
12 |
$6.00 |
| 91307 |
|
24 |
24 |
$5.52 |
| 1036F |
|
28 |
27 |
$5.29 |
| 90656 |
|
14 |
14 |
$0.13 |