| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,888 |
28,342 |
$3.35M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,816 |
6,405 |
$1.74M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,014 |
5,595 |
$1.52M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,196 |
4,960 |
$1.34M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,253 |
5,843 |
$1.29M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,730 |
3,492 |
$958K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
6,375 |
5,657 |
$307K |
| 99205 |
Prolong outpt/office vis |
730 |
661 |
$207K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
3,844 |
2,817 |
$175K |
| 90686 |
|
9,121 |
8,470 |
$67K |
| 99401 |
|
5,720 |
5,026 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
693 |
633 |
$58K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,831 |
4,481 |
$56K |
| S4993 |
Contraceptive pills for birth control |
3,691 |
2,893 |
$49K |
| G9004 |
Coordinated care fee, risk adjusted low, initial |
1,003 |
854 |
$48K |
| 92551 |
|
10,066 |
9,379 |
$47K |
| 99173 |
|
10,501 |
9,925 |
$43K |
| 90670 |
|
4,794 |
4,485 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,332 |
2,941 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,207 |
1,631 |
$21K |
| 90651 |
|
2,603 |
2,460 |
$21K |
| 90698 |
|
2,726 |
2,548 |
$20K |
| 90633 |
|
2,670 |
2,498 |
$19K |
| 90680 |
|
2,484 |
2,361 |
$19K |
| T1017 |
Targeted case management, each 15 minutes |
420 |
323 |
$16K |
| 81025 |
|
6,270 |
5,472 |
$16K |
| 90697 |
|
1,761 |
1,692 |
$14K |
| 90688 |
|
2,046 |
1,766 |
$13K |
| 99381 |
|
56 |
50 |
$13K |
| 36416 |
|
5,220 |
4,635 |
$12K |
| 87210 |
|
2,934 |
2,541 |
$12K |
| 90671 |
|
1,422 |
1,409 |
$11K |
| 99402 |
|
1,139 |
952 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
256 |
241 |
$10K |
| 90744 |
|
1,323 |
1,224 |
$10K |
| 90734 |
|
1,065 |
996 |
$8K |
| 90681 |
|
868 |
792 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
210 |
204 |
$6K |
| 90715 |
|
613 |
576 |
$5K |
| 90710 |
|
521 |
507 |
$4K |
| 90696 |
|
495 |
477 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
86 |
83 |
$3K |
| 90619 |
|
429 |
397 |
$3K |
| 90648 |
|
428 |
372 |
$3K |
| 90716 |
|
350 |
334 |
$3K |
| 90707 |
|
346 |
330 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,477 |
1,318 |
$3K |
| 81003 |
|
1,011 |
909 |
$3K |
| 96127 |
|
4,464 |
4,071 |
$2K |
| 90677 |
|
259 |
179 |
$1K |
| 90700 |
|
182 |
163 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
148 |
122 |
$1K |
| 90381 |
|
142 |
115 |
$912.00 |
| 90723 |
|
101 |
77 |
$584.00 |
| 85018 |
|
2,702 |
2,485 |
$572.63 |
| 90713 |
|
78 |
66 |
$512.00 |
| 91321 |
|
70 |
65 |
$512.00 |
| 82947 |
|
125 |
106 |
$336.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
87 |
83 |
$255.47 |
| 90380 |
|
36 |
25 |
$200.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
29 |
$55.00 |
| 87220 |
|
915 |
754 |
$8.92 |