| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,001 |
37,863 |
$1.71M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,229 |
24,429 |
$1.67M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
37,206 |
32,322 |
$967K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,893 |
9,791 |
$582K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,146 |
9,422 |
$544K |
| 92587 |
|
27,969 |
25,605 |
$490K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,599 |
7,752 |
$412K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,476 |
6,046 |
$383K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
9,346 |
8,528 |
$371K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21,530 |
17,859 |
$167K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,356 |
9,390 |
$122K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,297 |
13,501 |
$95K |
| 99215 |
Prolong outpt/office vis |
1,109 |
959 |
$88K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,834 |
3,478 |
$88K |
| 99177 |
|
8,984 |
8,083 |
$81K |
| 83655 |
|
7,614 |
6,648 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,444 |
2,244 |
$59K |
| 87070 |
|
5,906 |
5,328 |
$39K |
| 96127 |
|
9,922 |
7,538 |
$38K |
| 36416 |
|
15,440 |
13,776 |
$38K |
| 99051 |
|
1,789 |
1,660 |
$36K |
| 99173 |
|
15,349 |
14,173 |
$33K |
| 99050 |
|
2,125 |
1,911 |
$33K |
| 90633 |
|
3,427 |
3,074 |
$31K |
| 99381 |
|
345 |
288 |
$18K |
| 90670 |
|
6,603 |
5,941 |
$17K |
| 90671 |
|
1,215 |
1,080 |
$13K |
| 90651 |
|
2,909 |
2,662 |
$8K |
| 90686 |
|
9,491 |
8,530 |
$8K |
| 99188 |
|
269 |
235 |
$7K |
| 81002 |
|
2,935 |
2,629 |
$7K |
| 99174 |
|
1,334 |
1,256 |
$7K |
| 90698 |
|
6,348 |
5,761 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
254 |
211 |
$4K |
| 92567 |
|
291 |
256 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
314 |
284 |
$3K |
| 95012 |
|
287 |
255 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
73 |
73 |
$3K |
| 90734 |
|
861 |
782 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
29 |
25 |
$2K |
| D1206 |
Topical application of fluoride varnish |
157 |
126 |
$2K |
| 90672 |
|
2,601 |
2,430 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
414 |
372 |
$2K |
| 96161 |
|
1,239 |
1,080 |
$1K |
| 69210 |
|
111 |
83 |
$1K |
| 92552 |
|
121 |
113 |
$1K |
| 90480 |
|
32 |
30 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
149 |
111 |
$1K |
| 94761 |
|
297 |
268 |
$1K |
| 90680 |
|
3,610 |
3,290 |
$995.00 |
| 99383 |
|
14 |
12 |
$855.12 |
| 90744 |
|
2,485 |
2,240 |
$750.75 |
| 90715 |
|
927 |
882 |
$560.82 |
| 96380 |
|
35 |
34 |
$547.46 |
| 90621 |
|
34 |
28 |
$516.80 |
| 90619 |
|
1,450 |
1,374 |
$491.52 |
| 90685 |
|
774 |
693 |
$447.35 |
| 90661 |
|
523 |
486 |
$425.59 |
| 90710 |
|
712 |
667 |
$317.52 |
| 87807 |
|
27 |
27 |
$296.05 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
41 |
36 |
$253.82 |
| 94664 |
|
31 |
26 |
$247.11 |
| 81003 |
|
121 |
116 |
$196.60 |
| 90716 |
|
199 |
180 |
$97.25 |
| 81025 |
|
16 |
13 |
$81.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
94 |
86 |
$74.10 |
| 90707 |
|
407 |
352 |
$41.50 |
| 90696 |
|
430 |
410 |
$10.00 |
| 91308 |
|
35 |
33 |
$0.32 |
| 91307 |
|
29 |
27 |
$0.27 |
| 90697 |
|
215 |
197 |
$0.00 |
| 1030F |
|
2,424 |
2,202 |
$0.00 |
| 3008F |
|
2,915 |
2,673 |
$0.00 |
| 2001F |
|
251 |
205 |
$0.00 |
| 90620 |
|
113 |
107 |
$0.00 |
| 2030F |
|
41 |
31 |
$0.00 |
| 90647 |
|
14 |
13 |
$0.00 |
| 2015F |
|
26 |
26 |
$0.00 |
| 2010F |
|
129 |
98 |
$0.00 |
| 94760 |
|
15 |
13 |
$0.00 |
| 4124F |
|
252 |
236 |
$0.00 |
| 4120F |
|
87 |
77 |
$0.00 |
| 3210F |
|
346 |
314 |
$0.00 |
| 2018F |
|
30 |
22 |
$0.00 |
| 90700 |
|
21 |
19 |
$0.00 |
| 91321 |
|
14 |
13 |
$0.00 |
| 2035F |
|
18 |
15 |
$0.00 |