| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,532 |
16,407 |
$1.09M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,492 |
6,250 |
$597K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,733 |
5,514 |
$511K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,956 |
9,711 |
$506K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,736 |
3,606 |
$337K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,608 |
5,258 |
$213K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,736 |
1,723 |
$169K |
| 87428 |
|
2,188 |
2,154 |
$135K |
| 99381 |
|
1,067 |
962 |
$100K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,294 |
5,165 |
$73K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,824 |
1,384 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,396 |
2,761 |
$37K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
610 |
605 |
$30K |
| 83655 |
|
2,033 |
1,963 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
428 |
415 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
113 |
113 |
$13K |
| 96161 |
|
3,525 |
3,407 |
$12K |
| 87807 |
|
802 |
787 |
$11K |
| 85018 |
|
3,881 |
3,755 |
$10K |
| 94760 |
|
2,376 |
2,199 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
399 |
375 |
$9K |
| 99173 |
|
3,150 |
3,075 |
$8K |
| 92552 |
|
2,231 |
2,173 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
79 |
79 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
228 |
208 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
171 |
166 |
$3K |
| 97802 |
|
632 |
628 |
$3K |
| 96127 |
|
306 |
296 |
$2K |
| 90670 |
|
4,371 |
4,281 |
$979.35 |
| 96160 |
|
189 |
186 |
$684.50 |
| 94664 |
|
44 |
44 |
$664.02 |
| 99429 |
|
43 |
39 |
$360.00 |
| 90707 |
|
1,058 |
1,035 |
$303.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
13 |
$259.80 |
| 90716 |
|
880 |
848 |
$258.60 |
| 81002 |
|
46 |
42 |
$143.56 |
| 90473 |
|
12 |
12 |
$95.12 |
| 90656 |
|
18 |
18 |
$44.70 |
| 90677 |
|
27 |
25 |
$36.00 |
| 90647 |
|
3,213 |
3,143 |
$24.20 |
| 36416 |
|
3,908 |
3,785 |
$22.66 |
| 90686 |
|
1,582 |
1,548 |
$9.03 |
| 90633 |
|
1,355 |
1,311 |
$0.00 |
| 90681 |
|
1,121 |
1,107 |
$0.00 |
| 90700 |
|
63 |
58 |
$0.00 |
| 90685 |
|
26 |
26 |
$0.00 |
| 90723 |
|
3,191 |
3,126 |
$0.00 |
| 90696 |
|
59 |
59 |
$0.00 |