| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,259 |
13,306 |
$757K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,617 |
6,221 |
$487K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,231 |
2,189 |
$135K |
| 92587 |
|
5,171 |
5,092 |
$132K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,930 |
4,745 |
$100K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,600 |
4,425 |
$100K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,323 |
1,301 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,337 |
1,322 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,235 |
1,207 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,646 |
1,595 |
$63K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,847 |
3,726 |
$51K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
768 |
660 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,705 |
1,671 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
737 |
706 |
$20K |
| 90461 |
|
1,332 |
1,287 |
$16K |
| 99177 |
|
1,906 |
1,846 |
$16K |
| 97802 |
|
4,569 |
4,398 |
$15K |
| 99188 |
|
700 |
676 |
$10K |
| 95930 |
|
236 |
229 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,085 |
1,011 |
$8K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
29 |
29 |
$8K |
| 96127 |
|
2,117 |
2,042 |
$6K |
| 99401 |
|
834 |
786 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
230 |
222 |
$5K |
| 90686 |
|
868 |
760 |
$5K |
| 90734 |
|
102 |
100 |
$3K |
| 99406 |
|
494 |
485 |
$1K |
| 94010 |
|
43 |
43 |
$1K |
| 90670 |
|
294 |
226 |
$1K |
| 90715 |
|
75 |
65 |
$754.35 |
| 99050 |
|
195 |
191 |
$419.56 |
| 90651 |
|
12 |
12 |
$400.26 |
| 90700 |
|
64 |
52 |
$259.36 |
| A4558 |
Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz |
147 |
142 |
$158.87 |
| 90707 |
|
19 |
15 |
$62.33 |
| 90633 |
|
38 |
27 |
$58.00 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
120 |
115 |
$0.00 |
| 90698 |
|
27 |
25 |
$0.00 |
| 90680 |
|
44 |
24 |
$0.00 |