| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,974 |
9,311 |
$279K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,663 |
4,202 |
$244K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,171 |
2,146 |
$178K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,514 |
1,447 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,798 |
1,514 |
$105K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,030 |
3,965 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
895 |
892 |
$57K |
| 99215 |
Prolong outpt/office vis |
181 |
178 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
580 |
565 |
$5K |
| 90461 |
|
2,425 |
2,349 |
$4K |
| 99381 |
|
51 |
38 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,484 |
803 |
$3K |
| 90686 |
|
1,060 |
1,046 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
182 |
180 |
$3K |
| 99383 |
|
50 |
45 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
466 |
466 |
$2K |
| 99382 |
|
12 |
12 |
$2K |
| 99384 |
|
33 |
33 |
$1K |
| 99188 |
|
35 |
35 |
$919.80 |
| 90710 |
|
729 |
708 |
$870.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
643 |
611 |
$525.76 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22 |
22 |
$257.46 |
| 90670 |
|
1,338 |
1,295 |
$220.05 |
| 90633 |
|
1,062 |
1,033 |
$170.00 |
| 90651 |
|
515 |
491 |
$170.00 |
| 90723 |
|
652 |
626 |
$145.00 |
| 90620 |
|
109 |
106 |
$135.88 |
| 90680 |
|
805 |
775 |
$100.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
297 |
249 |
$84.88 |
| 90734 |
|
308 |
292 |
$80.00 |
| 90696 |
|
210 |
198 |
$40.00 |
| 81002 |
|
52 |
50 |
$20.90 |
| 90648 |
|
959 |
925 |
$20.00 |
| 99173 |
|
92 |
90 |
$0.00 |
| 90700 |
|
113 |
108 |
$0.00 |
| 90715 |
|
87 |
86 |
$0.00 |
| 99000 |
|
94 |
89 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
140 |
139 |
$0.00 |
| 90698 |
|
162 |
155 |
$0.00 |
| 96127 |
|
341 |
333 |
$0.00 |
| 92551 |
|
14 |
14 |
$0.00 |