| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66,737 |
59,886 |
$4.47M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,359 |
22,677 |
$2.37M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28,603 |
25,478 |
$876K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,541 |
8,944 |
$876K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,785 |
8,699 |
$868K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17,253 |
16,107 |
$833K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,860 |
5,816 |
$571K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20,475 |
13,562 |
$381K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,428 |
3,409 |
$372K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16,848 |
16,027 |
$222K |
| 90461 |
|
8,081 |
7,778 |
$199K |
| G9153 |
Mapcp demonstration - physician incentive pool |
3,006 |
2,972 |
$153K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,651 |
1,639 |
$152K |
| 99188 |
|
8,521 |
8,448 |
$132K |
| 92583 |
|
3,895 |
3,859 |
$126K |
| 97802 |
|
5,074 |
5,042 |
$119K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13,354 |
13,187 |
$110K |
| 87807 |
|
6,197 |
5,868 |
$71K |
| 96127 |
|
5,895 |
5,625 |
$49K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
305 |
300 |
$44K |
| 96161 |
|
4,716 |
4,648 |
$36K |
| 83655 |
|
3,038 |
3,007 |
$36K |
| 87449 |
|
1,059 |
1,028 |
$28K |
| 99499 |
|
328 |
307 |
$25K |
| 99177 |
|
5,757 |
5,706 |
$24K |
| 92551 |
|
8,402 |
8,305 |
$22K |
| 81002 |
|
6,247 |
6,044 |
$18K |
| 85014 |
|
4,274 |
4,215 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
669 |
587 |
$7K |
| 0071A |
|
156 |
156 |
$6K |
| 90671 |
|
1,664 |
1,630 |
$6K |
| 0072A |
|
120 |
120 |
$5K |
| 99383 |
|
36 |
36 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
69 |
$3K |
| 81025 |
|
389 |
378 |
$3K |
| 99384 |
|
12 |
12 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
99 |
98 |
$1K |
| 99382 |
|
13 |
12 |
$1K |
| 90651 |
|
1,764 |
1,748 |
$1K |
| 96380 |
|
65 |
62 |
$1K |
| 95117 |
|
120 |
76 |
$872.27 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
185 |
162 |
$665.16 |
| 90686 |
|
6,358 |
6,310 |
$414.26 |
| 90698 |
|
4,572 |
4,526 |
$321.66 |
| 90716 |
|
2,872 |
2,851 |
$300.45 |
| 90680 |
|
4,031 |
3,994 |
$277.46 |
| 90670 |
|
4,200 |
4,177 |
$251.00 |
| 81003 |
|
97 |
95 |
$181.04 |
| 90619 |
|
621 |
616 |
$164.19 |
| 36415 |
Collection of venous blood by venipuncture |
58 |
56 |
$122.25 |
| 90707 |
|
2,840 |
2,823 |
$102.69 |
| 96160 |
|
12 |
12 |
$97.68 |
| 90685 |
|
874 |
862 |
$74.08 |
| 90696 |
|
1,075 |
1,072 |
$57.94 |
| 90656 |
|
457 |
457 |
$57.87 |
| 90734 |
|
383 |
378 |
$11.74 |
| 99173 |
|
5,187 |
5,163 |
$5.00 |
| 90648 |
|
497 |
495 |
$0.00 |
| 90715 |
|
601 |
595 |
$0.00 |
| 90633 |
|
3,625 |
3,592 |
$0.00 |
| 90700 |
|
485 |
483 |
$0.00 |
| 91300 |
|
13 |
13 |
$0.00 |
| 90744 |
|
3,158 |
3,138 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,887 |
1,883 |
$0.00 |
| 90381 |
|
17 |
17 |
$0.00 |
| 91307 |
|
224 |
210 |
$0.00 |
| 90620 |
|
67 |
67 |
$0.00 |