| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,248 |
15,674 |
$978K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,094 |
2,642 |
$241K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,276 |
2,868 |
$181K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,154 |
2,577 |
$163K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,485 |
1,311 |
$84K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,123 |
1,965 |
$52K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,712 |
1,672 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
397 |
291 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
473 |
409 |
$26K |
| 99381 |
|
491 |
393 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,454 |
1,183 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,591 |
1,452 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,224 |
2,012 |
$18K |
| 99173 |
|
4,086 |
3,526 |
$16K |
| 92551 |
|
3,105 |
2,607 |
$12K |
| 90670 |
|
2,398 |
1,617 |
$12K |
| 90680 |
|
1,489 |
1,198 |
$9K |
| 90648 |
|
1,335 |
1,013 |
$7K |
| 87807 |
|
841 |
692 |
$7K |
| 90697 |
|
1,060 |
855 |
$7K |
| 90710 |
|
1,177 |
899 |
$7K |
| 90723 |
|
981 |
775 |
$6K |
| 83655 |
|
449 |
364 |
$5K |
| 90633 |
|
878 |
731 |
$5K |
| 36416 |
|
1,995 |
1,511 |
$4K |
| 96161 |
|
1,961 |
1,266 |
$4K |
| 96127 |
|
1,024 |
903 |
$3K |
| 90677 |
|
369 |
324 |
$3K |
| 90671 |
|
334 |
300 |
$2K |
| 90696 |
|
211 |
173 |
$1K |
| 90700 |
|
150 |
131 |
$1K |
| 90715 |
|
160 |
117 |
$920.00 |
| 81003 |
|
229 |
197 |
$589.97 |
| 90688 |
|
49 |
49 |
$392.00 |
| 90651 |
|
40 |
39 |
$312.00 |
| 85018 |
|
547 |
461 |
$244.01 |
| 90734 |
|
65 |
27 |
$216.00 |
| 90672 |
|
17 |
15 |
$120.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
15 |
$100.80 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$22.00 |
| 3078F |
|
2,360 |
2,104 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
33 |
32 |
$0.00 |
| 3074F |
|
2,468 |
2,192 |
$0.00 |
| 3079F |
|
79 |
66 |
$0.00 |
| 3075F |
|
14 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
51 |
$0.00 |