| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,021 |
28,006 |
$1.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,617 |
11,704 |
$659K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,941 |
4,796 |
$402K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24,827 |
10,772 |
$267K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,915 |
2,846 |
$256K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,956 |
2,829 |
$230K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,695 |
2,643 |
$143K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,167 |
1,144 |
$110K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,665 |
2,699 |
$78K |
| 87430 |
|
5,448 |
5,184 |
$75K |
| 92551 |
|
7,287 |
7,021 |
$62K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,144 |
3,670 |
$43K |
| 90461 |
|
3,905 |
3,350 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,582 |
1,505 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
376 |
362 |
$15K |
| 99050 |
|
903 |
885 |
$14K |
| 99000 |
|
1,303 |
1,284 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
87 |
86 |
$7K |
| 0071A |
|
169 |
169 |
$6K |
| 0072A |
|
152 |
152 |
$6K |
| 99381 |
|
40 |
40 |
$3K |
| 97169 |
|
139 |
137 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
93 |
93 |
$3K |
| 94760 |
|
23,043 |
20,970 |
$3K |
| 96160 |
|
2,149 |
2,073 |
$3K |
| 85027 |
|
292 |
282 |
$2K |
| 90688 |
|
1,964 |
1,914 |
$873.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
45 |
37 |
$487.86 |
| 85018 |
|
354 |
352 |
$387.83 |
| 81002 |
|
123 |
117 |
$375.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$267.61 |
| 90670 |
|
1,493 |
1,486 |
$38.00 |
| 90680 |
|
996 |
984 |
$17.00 |
| 90698 |
|
919 |
912 |
$14.04 |
| 90651 |
|
226 |
219 |
$3.00 |
| 90633 |
|
737 |
725 |
$3.00 |
| 90686 |
|
703 |
703 |
$1.00 |
| 90715 |
|
56 |
56 |
$1.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,116 |
5,925 |
$0.00 |
| 36416 |
|
1,048 |
1,022 |
$0.00 |
| 90744 |
|
411 |
404 |
$0.00 |
| 90716 |
|
125 |
123 |
$0.00 |
| 91307 |
|
301 |
263 |
$0.00 |
| 90696 |
|
76 |
75 |
$0.00 |
| 90619 |
|
47 |
44 |
$0.00 |
| 99173 |
|
6,790 |
6,577 |
$0.00 |
| 90671 |
|
659 |
621 |
$0.00 |
| 90707 |
|
159 |
156 |
$0.00 |
| 90648 |
|
69 |
69 |
$0.00 |
| 90658 |
|
221 |
221 |
$0.00 |
| 90734 |
|
69 |
69 |
$0.00 |
| 90700 |
|
112 |
109 |
$0.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
13 |
12 |
$0.00 |
| 90710 |
|
62 |
62 |
$0.00 |