| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,025 |
21,769 |
$1.30M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,904 |
8,312 |
$650K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,646 |
5,568 |
$601K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,551 |
4,458 |
$522K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,791 |
4,716 |
$515K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,288 |
3,231 |
$333K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,015 |
5,716 |
$219K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,336 |
6,111 |
$111K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,603 |
3,467 |
$80K |
| 92551 |
|
6,536 |
6,343 |
$53K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,482 |
6,139 |
$53K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
770 |
764 |
$40K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,336 |
1,299 |
$40K |
| 99173 |
|
5,893 |
5,715 |
$34K |
| 99381 |
|
356 |
353 |
$32K |
| 99499 |
|
1,435 |
1,282 |
$29K |
| 90686 |
|
3,255 |
3,229 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
642 |
631 |
$22K |
| 96127 |
|
3,563 |
3,460 |
$15K |
| 90651 |
|
1,149 |
1,148 |
$13K |
| 87807 |
|
924 |
896 |
$11K |
| 0071A |
|
281 |
278 |
$11K |
| 0072A |
|
245 |
245 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,086 |
1,057 |
$10K |
| 90670 |
|
1,660 |
1,645 |
$10K |
| 90681 |
|
1,117 |
1,107 |
$9K |
| 0001A |
|
210 |
206 |
$8K |
| 90619 |
|
935 |
932 |
$8K |
| 90697 |
|
772 |
769 |
$8K |
| 90633 |
|
990 |
984 |
$7K |
| 90734 |
|
546 |
540 |
$7K |
| 90710 |
|
892 |
887 |
$7K |
| 0002A |
|
171 |
171 |
$7K |
| 90698 |
|
1,306 |
1,290 |
$6K |
| 90677 |
|
638 |
635 |
$6K |
| 99177 |
|
348 |
341 |
$5K |
| 87428 |
|
147 |
142 |
$4K |
| 90656 |
|
473 |
473 |
$4K |
| 90715 |
|
506 |
506 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
150 |
141 |
$3K |
| 96161 |
|
1,401 |
1,363 |
$3K |
| 0003A |
|
70 |
70 |
$3K |
| 99383 |
|
17 |
17 |
$2K |
| 90696 |
|
224 |
220 |
$2K |
| 92587 |
|
52 |
51 |
$2K |
| 85018 |
|
582 |
564 |
$2K |
| 90685 |
|
104 |
103 |
$1K |
| 0011A |
|
52 |
52 |
$1K |
| 90744 |
|
281 |
280 |
$1K |
| 83655 |
|
155 |
148 |
$1K |
| 99188 |
|
76 |
76 |
$1K |
| 0012A |
|
35 |
35 |
$950.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
59 |
57 |
$916.36 |
| 90700 |
|
203 |
203 |
$834.08 |
| 93000 |
|
34 |
32 |
$627.67 |
| 81002 |
|
186 |
182 |
$605.18 |
| 0073A |
|
14 |
14 |
$560.00 |
| 36415 |
Collection of venous blood by venipuncture |
69 |
66 |
$290.95 |
| 96160 |
|
151 |
150 |
$267.11 |
| 90713 |
|
32 |
32 |
$92.17 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
43 |
40 |
$54.00 |