| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
184,852 |
161,476 |
$4.96M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61,900 |
55,817 |
$2.38M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27,697 |
25,733 |
$1.34M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27,081 |
24,653 |
$1.19M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24,781 |
23,223 |
$1.13M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18,791 |
17,556 |
$940K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52,313 |
46,451 |
$500K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
33,036 |
30,366 |
$395K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,054 |
8,488 |
$289K |
| 99051 |
|
8,855 |
8,219 |
$140K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22,785 |
18,356 |
$122K |
| 92551 |
|
20,081 |
18,613 |
$105K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,565 |
2,153 |
$100K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,378 |
10,599 |
$98K |
| 54150 |
|
612 |
595 |
$77K |
| 90474 |
|
10,631 |
9,671 |
$69K |
| 99460 |
|
1,855 |
1,748 |
$66K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,260 |
1,185 |
$52K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,496 |
2,746 |
$45K |
| 87430 |
|
5,420 |
4,672 |
$38K |
| 99173 |
|
15,901 |
14,524 |
$21K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,063 |
1,759 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
909 |
648 |
$13K |
| 87428 |
|
1,574 |
1,403 |
$12K |
| 90651 |
|
1,668 |
1,649 |
$5K |
| 99462 |
|
245 |
159 |
$4K |
| 99188 |
|
288 |
259 |
$4K |
| 90734 |
|
3,622 |
3,595 |
$4K |
| 94664 |
|
939 |
699 |
$4K |
| 90686 |
|
11,055 |
10,483 |
$3K |
| 87807 |
|
380 |
321 |
$2K |
| 69210 |
|
101 |
76 |
$2K |
| 99441 |
|
183 |
158 |
$2K |
| 90620 |
|
399 |
376 |
$1K |
| 99381 |
|
12 |
12 |
$915.48 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$791.02 |
| 81002 |
|
543 |
466 |
$595.87 |
| 17250 |
|
13 |
13 |
$551.99 |
| 0071A |
|
96 |
84 |
$378.12 |
| 0072A |
|
90 |
75 |
$331.03 |
| 90619 |
|
1,013 |
859 |
$310.72 |
| 90716 |
|
2,009 |
1,977 |
$244.04 |
| 90715 |
|
1,493 |
1,467 |
$227.59 |
| 85018 |
|
100 |
97 |
$181.44 |
| 90656 |
|
333 |
314 |
$160.53 |
| 96127 |
|
303 |
249 |
$144.92 |
| 90707 |
|
2,055 |
2,020 |
$141.84 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
144 |
90 |
$133.45 |
| 54450 |
|
14 |
12 |
$75.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
705 |
507 |
$74.32 |
| 94760 |
|
81 |
52 |
$9.63 |
| 90648 |
|
16,314 |
15,547 |
$0.19 |
| 90680 |
|
10,144 |
9,671 |
$0.08 |
| 90671 |
|
1,578 |
1,304 |
$0.04 |
| 90633 |
|
7,493 |
7,225 |
$0.01 |
| 90710 |
|
1,889 |
1,866 |
$0.00 |
| 90685 |
|
279 |
261 |
$0.00 |
| 90670 |
|
12,558 |
12,290 |
$0.00 |
| 90700 |
|
2,001 |
1,918 |
$0.00 |
| 91300 |
|
65 |
59 |
$0.00 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
43 |
40 |
$0.00 |
| 0002A |
|
14 |
13 |
$0.00 |
| 90723 |
|
12,497 |
11,940 |
$0.00 |
| 90677 |
|
2,383 |
1,980 |
$0.00 |
| 90696 |
|
1,729 |
1,713 |
$0.00 |
| 99000 |
|
848 |
460 |
$0.00 |
| 91307 |
|
255 |
213 |
$0.00 |
| 0001A |
|
14 |
14 |
$0.00 |