| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,541 |
13,129 |
$564K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,666 |
7,299 |
$421K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,354 |
3,279 |
$319K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,283 |
10,817 |
$280K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,173 |
3,116 |
$276K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,845 |
10,772 |
$189K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,599 |
1,578 |
$134K |
| 92552 |
|
4,862 |
4,754 |
$50K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
876 |
844 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
479 |
474 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
299 |
294 |
$28K |
| 99000 |
|
2,284 |
2,107 |
$25K |
| 86580 |
|
1,952 |
1,909 |
$16K |
| 0001A |
|
353 |
352 |
$15K |
| 97803 |
|
8,358 |
8,012 |
$15K |
| 0071A |
|
357 |
344 |
$14K |
| 0002A |
|
338 |
336 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
903 |
893 |
$14K |
| 0072A |
|
333 |
327 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
913 |
897 |
$13K |
| 90621 |
|
563 |
558 |
$12K |
| 90461 |
|
2,195 |
1,785 |
$11K |
| 90651 |
|
2,534 |
2,485 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
159 |
158 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
406 |
388 |
$6K |
| 90686 |
|
4,410 |
4,294 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
295 |
290 |
$4K |
| 0003A |
|
97 |
97 |
$4K |
| 90620 |
|
165 |
156 |
$2K |
| 81002 |
|
727 |
687 |
$2K |
| 90672 |
|
511 |
496 |
$869.47 |
| 90734 |
|
1,198 |
1,177 |
$813.94 |
| 90656 |
|
211 |
209 |
$286.09 |
| 90670 |
|
693 |
682 |
$227.66 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
14 |
$224.44 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$110.68 |
| 90707 |
|
426 |
419 |
$88.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
37 |
26 |
$38.66 |
| 90715 |
|
402 |
397 |
$32.00 |
| 91307 |
|
699 |
628 |
$0.00 |
| 90680 |
|
121 |
119 |
$0.00 |
| 90716 |
|
453 |
445 |
$0.00 |
| 94760 |
|
16 |
13 |
$0.00 |
| 97802 |
|
12 |
12 |
$0.00 |
| 91300 |
|
835 |
707 |
$0.00 |
| 90700 |
|
600 |
586 |
$0.00 |
| 99173 |
|
4,220 |
4,158 |
$0.00 |
| 90633 |
|
373 |
365 |
$0.00 |
| 90648 |
|
252 |
246 |
$0.00 |
| 90713 |
|
291 |
291 |
$0.00 |