| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,108 |
7,727 |
$613K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,937 |
5,191 |
$573K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,029 |
1,997 |
$183K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,731 |
1,693 |
$160K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,186 |
1,161 |
$102K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
945 |
919 |
$94K |
| 99215 |
Prolong outpt/office vis |
323 |
195 |
$52K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,394 |
1,322 |
$51K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,709 |
1,316 |
$39K |
| 99499 |
|
1,044 |
1,005 |
$29K |
| 99429 |
|
1,020 |
977 |
$27K |
| 90686 |
|
1,313 |
1,298 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
993 |
954 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
516 |
494 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
619 |
612 |
$12K |
| 90670 |
|
839 |
829 |
$11K |
| 96127 |
|
3,379 |
2,790 |
$10K |
| 90648 |
|
706 |
693 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
221 |
216 |
$9K |
| 81002 |
|
2,674 |
2,545 |
$8K |
| D9999 |
Unspecified adjunctive procedure, by report |
319 |
307 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
998 |
806 |
$7K |
| 87420 |
|
511 |
489 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
210 |
208 |
$4K |
| 90688 |
|
285 |
284 |
$4K |
| 90723 |
|
332 |
328 |
$4K |
| 90680 |
|
293 |
291 |
$3K |
| 90651 |
|
178 |
172 |
$2K |
| 99173 |
|
1,695 |
1,644 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
94 |
94 |
$2K |
| 0071A |
|
45 |
44 |
$2K |
| 90633 |
|
117 |
117 |
$1K |
| 99442 |
|
12 |
12 |
$839.76 |
| 90656 |
|
159 |
98 |
$759.78 |
| 90685 |
|
55 |
55 |
$754.86 |
| 0072A |
|
18 |
18 |
$720.00 |
| 90715 |
|
57 |
56 |
$664.29 |
| 90734 |
|
58 |
58 |
$646.52 |
| 0001A |
|
17 |
16 |
$640.00 |
| 0002A |
|
15 |
13 |
$520.00 |
| 90696 |
|
14 |
13 |
$255.97 |
| 91307 |
|
101 |
88 |
$0.00 |
| 99072 |
|
2,218 |
2,049 |
$0.00 |
| 91300 |
|
92 |
78 |
$0.00 |