| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80,371 |
75,422 |
$3.06M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
19,521 |
19,305 |
$1.48M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16,786 |
16,138 |
$1.14M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,381 |
12,276 |
$942K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,500 |
12,899 |
$789K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,061 |
5,994 |
$520K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22,683 |
22,127 |
$489K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35,267 |
34,666 |
$442K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,598 |
8,487 |
$400K |
| 87428 |
|
2,565 |
2,468 |
$259K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,897 |
5,227 |
$160K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,685 |
5,425 |
$156K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,858 |
9,535 |
$146K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,712 |
2,627 |
$117K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,576 |
2,502 |
$72K |
| 99381 |
|
809 |
772 |
$57K |
| 90651 |
|
2,603 |
2,577 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
627 |
602 |
$44K |
| 90474 |
|
6,278 |
6,176 |
$41K |
| 90686 |
|
14,517 |
14,355 |
$38K |
| 87807 |
|
2,278 |
2,188 |
$34K |
| 90734 |
|
2,140 |
2,114 |
$30K |
| 90461 |
|
2,822 |
2,788 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,813 |
2,650 |
$29K |
| 90710 |
|
1,309 |
1,296 |
$27K |
| 90670 |
|
11,989 |
11,773 |
$25K |
| 96127 |
|
601 |
591 |
$13K |
| 90696 |
|
1,175 |
1,166 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
595 |
565 |
$10K |
| 83655 |
|
549 |
524 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
77 |
$8K |
| 90633 |
|
5,986 |
5,916 |
$8K |
| 99188 |
|
604 |
603 |
$7K |
| 90677 |
|
1,508 |
1,496 |
$6K |
| 0071A |
|
141 |
140 |
$6K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
153 |
141 |
$5K |
| 90715 |
|
974 |
957 |
$4K |
| 0072A |
|
87 |
87 |
$4K |
| 85018 |
|
1,121 |
1,094 |
$3K |
| 90620 |
|
165 |
162 |
$3K |
| 90647 |
|
6,089 |
5,922 |
$3K |
| 81003 |
|
1,024 |
975 |
$3K |
| 90656 |
|
1,088 |
1,087 |
$2K |
| 0001A |
|
45 |
45 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
123 |
117 |
$2K |
| 90716 |
|
864 |
846 |
$1K |
| 90700 |
|
719 |
715 |
$1K |
| 90648 |
|
4,990 |
4,942 |
$755.73 |
| 96161 |
|
109 |
107 |
$735.30 |
| 90707 |
|
794 |
776 |
$712.34 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
88 |
66 |
$416.96 |
| 90723 |
|
9,960 |
9,763 |
$315.66 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
12 |
$147.12 |
| 86140 |
|
24 |
18 |
$128.10 |
| 90685 |
|
280 |
272 |
$127.21 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$41.75 |
| 99177 |
|
3,448 |
3,425 |
$35.21 |
| 90680 |
|
7,708 |
7,539 |
$3.76 |
| 91307 |
|
331 |
316 |
$0.01 |
| 90681 |
|
227 |
225 |
$0.00 |
| 91300 |
|
175 |
162 |
$0.00 |
| 91305 |
|
13 |
13 |
$0.00 |