| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,485 |
24,539 |
$3.33M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,959 |
8,956 |
$2.25M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,052 |
7,317 |
$1.88M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,964 |
5,434 |
$1.40M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,093 |
3,703 |
$972K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,398 |
3,844 |
$895K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
6,711 |
6,007 |
$352K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
3,349 |
2,418 |
$146K |
| 99205 |
Prolong outpt/office vis |
614 |
557 |
$135K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
862 |
740 |
$69K |
| 90686 |
|
9,347 |
8,410 |
$67K |
| 90670 |
|
8,008 |
7,370 |
$59K |
| 99401 |
|
4,779 |
4,298 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,886 |
4,499 |
$51K |
| 92551 |
|
10,977 |
10,007 |
$49K |
| S4993 |
Contraceptive pills for birth control |
3,474 |
2,848 |
$49K |
| 99173 |
|
12,661 |
11,548 |
$45K |
| 90698 |
|
5,743 |
5,266 |
$41K |
| G9004 |
Coordinated care fee, risk adjusted low, initial |
724 |
613 |
$36K |
| 90680 |
|
4,362 |
4,068 |
$32K |
| 90744 |
|
3,625 |
3,313 |
$25K |
| 90633 |
|
3,326 |
3,122 |
$24K |
| 90651 |
|
2,797 |
2,578 |
$22K |
| 99381 |
|
95 |
94 |
$21K |
| T1017 |
Targeted case management, each 15 minutes |
532 |
419 |
$19K |
| 36416 |
|
8,408 |
7,215 |
$18K |
| 81025 |
|
7,297 |
6,204 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
471 |
393 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,301 |
1,188 |
$15K |
| 90734 |
|
1,759 |
1,637 |
$14K |
| 90697 |
|
1,736 |
1,665 |
$13K |
| 90715 |
|
1,736 |
1,520 |
$12K |
| 90710 |
|
1,533 |
1,406 |
$11K |
| 90716 |
|
1,422 |
1,274 |
$11K |
| 90696 |
|
1,456 |
1,336 |
$10K |
| 90707 |
|
1,373 |
1,243 |
$10K |
| 90688 |
|
1,395 |
1,180 |
$9K |
| 90671 |
|
1,153 |
1,122 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
942 |
714 |
$9K |
| 99402 |
|
829 |
718 |
$8K |
| 90681 |
|
923 |
844 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
139 |
128 |
$6K |
| 90619 |
|
624 |
514 |
$4K |
| 87210 |
|
950 |
816 |
$4K |
| 90700 |
|
495 |
435 |
$3K |
| 90648 |
|
338 |
309 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
79 |
79 |
$2K |
| 90677 |
|
265 |
198 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
851 |
752 |
$1K |
| 96127 |
|
2,293 |
2,005 |
$1K |
| 90381 |
|
189 |
152 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
140 |
120 |
$931.68 |
| 82947 |
|
304 |
266 |
$741.32 |
| 85018 |
|
1,935 |
1,746 |
$625.07 |
| 81003 |
|
212 |
199 |
$516.12 |
| 91321 |
|
59 |
58 |
$464.00 |
| 90713 |
|
76 |
63 |
$448.00 |
| 90723 |
|
56 |
55 |
$424.00 |
| 90380 |
|
50 |
50 |
$400.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
248 |
204 |
$366.88 |
| 90672 |
|
17 |
17 |
$128.00 |