| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,295 |
16,618 |
$709K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,472 |
5,102 |
$428K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,875 |
4,774 |
$400K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23,593 |
8,856 |
$251K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,507 |
1,472 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,376 |
1,314 |
$73K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,046 |
3,801 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
607 |
593 |
$57K |
| 99381 |
|
677 |
617 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,889 |
1,790 |
$45K |
| 90461 |
|
7,442 |
6,403 |
$37K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
727 |
702 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,896 |
1,825 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,547 |
2,314 |
$22K |
| 87807 |
|
949 |
861 |
$10K |
| 83655 |
|
535 |
509 |
$6K |
| 54150 |
|
54 |
53 |
$5K |
| 99460 |
|
64 |
62 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
60 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
78 |
75 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
45 |
45 |
$3K |
| 99383 |
|
28 |
28 |
$3K |
| 99382 |
|
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
85 |
51 |
$1K |
| 88720 |
|
506 |
370 |
$758.43 |
| 85018 |
|
726 |
689 |
$412.71 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
19 |
12 |
$162.45 |
| 81002 |
|
43 |
38 |
$139.65 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
43 |
25 |
$80.93 |
| 90677 |
|
452 |
444 |
$0.64 |
| 90723 |
|
2,332 |
2,274 |
$0.00 |
| 90620 |
|
43 |
42 |
$0.00 |
| 90698 |
|
1,348 |
1,315 |
$0.00 |
| 90686 |
|
1,703 |
1,691 |
$0.00 |
| 90716 |
|
657 |
637 |
$0.00 |
| 90696 |
|
461 |
453 |
$0.00 |
| 36416 |
|
40 |
30 |
$0.00 |
| 90651 |
|
157 |
153 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90710 |
|
1,012 |
988 |
$0.00 |
| 90670 |
|
4,138 |
4,036 |
$0.00 |
| 90633 |
|
2,230 |
2,178 |
$0.00 |
| 90648 |
|
3,192 |
3,115 |
$0.00 |
| 90700 |
|
865 |
845 |
$0.00 |
| 90734 |
|
228 |
223 |
$0.00 |
| 90707 |
|
665 |
645 |
$0.00 |
| 90681 |
|
2,153 |
2,103 |
$0.00 |
| 90715 |
|
71 |
69 |
$0.00 |