| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,111 |
7,273 |
$335K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,214 |
3,102 |
$282K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,767 |
2,658 |
$223K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,257 |
1,167 |
$93K |
| H1000 |
Prenatal care, at-risk assessment |
2,208 |
1,442 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
947 |
929 |
$87K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
583 |
573 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,214 |
1,114 |
$33K |
| 92587 |
|
2,127 |
2,046 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,561 |
4,203 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,143 |
5,964 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,515 |
1,508 |
$18K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
55 |
53 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
552 |
540 |
$4K |
| 59430 |
|
80 |
70 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
762 |
729 |
$3K |
| 81025 |
|
348 |
313 |
$2K |
| 85018 |
|
1,552 |
1,497 |
$2K |
| 90473 |
|
633 |
611 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
16 |
16 |
$1K |
| 87807 |
|
277 |
257 |
$1K |
| H0031 |
Mental health assessment, by non-physician |
64 |
55 |
$540.61 |
| 36415 |
Collection of venous blood by venipuncture |
202 |
176 |
$527.21 |
| 81003 |
|
256 |
192 |
$365.77 |
| H2010 |
Comprehensive medication services, per 15 minutes |
12 |
12 |
$345.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
66 |
64 |
$274.88 |
| 1160F |
|
10,235 |
8,522 |
$271.59 |
| H0046 |
Mental health services, not otherwise specified |
15 |
14 |
$210.00 |
| 1036F |
|
3,925 |
2,753 |
$181.30 |
| 92558 |
|
15 |
15 |
$94.46 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
806 |
753 |
$64.66 |
| 90686 |
|
2,823 |
2,758 |
$26.60 |
| 90648 |
|
2,126 |
2,051 |
$11.57 |
| 90670 |
|
1,151 |
1,116 |
$0.47 |
| 90381 |
|
33 |
33 |
$0.13 |
| 90674 |
|
106 |
103 |
$0.04 |
| 90656 |
|
477 |
474 |
$0.04 |
| 90633 |
|
559 |
532 |
$0.02 |
| 90723 |
|
1,412 |
1,361 |
$0.00 |
| 3008F |
|
18,280 |
14,402 |
$0.00 |
| 99000 |
|
730 |
590 |
$0.00 |
| 99174 |
|
711 |
579 |
$0.00 |
| 3074F |
|
10,610 |
9,060 |
$0.00 |
| 90651 |
|
107 |
107 |
$0.00 |
| 90677 |
|
545 |
519 |
$0.00 |
| 36416 |
|
194 |
167 |
$0.00 |
| 1126F |
|
958 |
705 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 91305 |
|
31 |
26 |
$0.00 |
| 91307 |
|
30 |
29 |
$0.00 |
| 90620 |
|
103 |
102 |
$0.00 |
| 3079F |
|
18 |
17 |
$0.00 |
| 3725F |
|
2,102 |
1,726 |
$0.00 |
| 3078F |
|
10,836 |
8,529 |
$0.00 |
| 90681 |
|
561 |
539 |
$0.00 |
| 90671 |
|
430 |
411 |
$0.00 |
| 90700 |
|
72 |
67 |
$0.00 |
| 90734 |
|
121 |
121 |
$0.00 |
| 91300 |
|
22 |
21 |
$0.00 |