| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,276 |
18,173 |
$826K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,086 |
10,328 |
$636K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,870 |
4,514 |
$383K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,014 |
3,947 |
$324K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,819 |
6,374 |
$323K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,285 |
2,260 |
$199K |
| 87428 |
|
3,354 |
3,269 |
$140K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,407 |
1,380 |
$134K |
| 99383 |
|
1,449 |
1,368 |
$123K |
| 99381 |
|
1,407 |
1,306 |
$109K |
| 99382 |
|
1,048 |
989 |
$87K |
| 99384 |
|
789 |
732 |
$70K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,470 |
6,435 |
$68K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,780 |
2,664 |
$39K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
898 |
827 |
$36K |
| 90677 |
|
1,497 |
1,476 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,810 |
1,179 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
469 |
449 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
760 |
727 |
$19K |
| 90461 |
|
3,366 |
2,486 |
$9K |
| 87807 |
|
813 |
781 |
$9K |
| 96160 |
|
2,162 |
2,096 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
257 |
249 |
$3K |
| 90619 |
|
352 |
342 |
$3K |
| 90380 |
|
67 |
65 |
$2K |
| 97169 |
|
81 |
80 |
$2K |
| 96380 |
|
99 |
97 |
$2K |
| 90686 |
|
526 |
514 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
87 |
80 |
$902.42 |
| 81003 |
|
337 |
314 |
$627.77 |
| 90651 |
|
62 |
60 |
$600.28 |
| 90381 |
|
95 |
92 |
$600.00 |
| 90670 |
|
1,800 |
1,762 |
$415.62 |
| 90620 |
|
144 |
142 |
$388.90 |
| 90710 |
|
481 |
466 |
$278.25 |
| 90734 |
|
141 |
137 |
$150.00 |
| 81025 |
|
12 |
12 |
$94.61 |
| 90696 |
|
388 |
376 |
$61.17 |
| 81000 |
|
15 |
12 |
$55.14 |
| 96161 |
|
233 |
233 |
$4.78 |
| 90697 |
|
761 |
755 |
$0.02 |
| 90633 |
|
1,508 |
1,481 |
$0.00 |
| 90648 |
|
1,521 |
1,497 |
$0.00 |
| 90681 |
|
577 |
568 |
$0.00 |
| 90715 |
|
257 |
252 |
$0.00 |
| 90700 |
|
656 |
641 |
$0.00 |
| 90707 |
|
712 |
703 |
$0.00 |
| 90680 |
|
1,476 |
1,442 |
$0.00 |
| 90698 |
|
857 |
835 |
$0.00 |
| 90657 |
|
13 |
13 |
$0.00 |
| 90723 |
|
941 |
928 |
$0.00 |
| 90656 |
|
70 |
67 |
$0.00 |
| 96127 |
|
20 |
12 |
$0.00 |
| 90716 |
|
697 |
689 |
$0.00 |