| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,097 |
27,245 |
$1.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,895 |
13,814 |
$917K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,842 |
13,439 |
$662K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,812 |
7,257 |
$528K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,664 |
6,102 |
$412K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24,098 |
22,392 |
$255K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,834 |
2,560 |
$188K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
11,657 |
10,849 |
$127K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,920 |
2,713 |
$87K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,605 |
2,368 |
$64K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,588 |
2,072 |
$63K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,587 |
1,507 |
$57K |
| 87807 |
|
4,206 |
3,865 |
$41K |
| 96161 |
|
2,720 |
2,335 |
$40K |
| 97802 |
|
3,250 |
3,013 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
384 |
333 |
$29K |
| 99381 |
|
316 |
275 |
$23K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,503 |
2,307 |
$23K |
| 99245 |
|
95 |
90 |
$15K |
| 99173 |
|
3,076 |
2,771 |
$15K |
| 92587 |
|
318 |
308 |
$15K |
| 96160 |
|
748 |
656 |
$9K |
| 92551 |
|
1,030 |
905 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
86 |
79 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
475 |
461 |
$6K |
| 90461 |
|
10,618 |
9,611 |
$3K |
| 96127 |
|
748 |
657 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
26 |
$3K |
| 90670 |
|
4,805 |
4,412 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
94 |
82 |
$2K |
| 90680 |
|
2,919 |
2,646 |
$2K |
| 90651 |
|
138 |
110 |
$1K |
| 90697 |
|
1,012 |
905 |
$1K |
| 90677 |
|
727 |
677 |
$1K |
| 99441 |
|
46 |
41 |
$889.75 |
| 90671 |
|
456 |
374 |
$785.78 |
| 99442 |
|
21 |
21 |
$667.94 |
| 90716 |
|
368 |
337 |
$562.44 |
| 90686 |
|
2,132 |
2,030 |
$525.65 |
| 90734 |
|
45 |
33 |
$512.85 |
| 90633 |
|
1,442 |
1,352 |
$466.05 |
| 90707 |
|
381 |
350 |
$325.23 |
| 90723 |
|
859 |
778 |
$311.06 |
| 81003 |
|
156 |
139 |
$300.34 |
| 90698 |
|
783 |
736 |
$257.31 |
| 90619 |
|
14 |
14 |
$188.00 |
| 90715 |
|
37 |
32 |
$167.88 |
| 86308 |
|
44 |
34 |
$149.92 |
| 90648 |
|
1,768 |
1,619 |
$86.75 |
| 90696 |
|
150 |
140 |
$68.83 |
| 90661 |
|
33 |
29 |
$36.85 |
| A9150 |
Non-prescription drugs |
30 |
30 |
$28.00 |
| 94760 |
|
307 |
285 |
$5.73 |
| 90685 |
|
64 |
58 |
$0.00 |
| 90710 |
|
167 |
155 |
$0.00 |
| 90756 |
|
119 |
115 |
$0.00 |
| 90700 |
|
43 |
43 |
$0.00 |
| 99000 |
|
453 |
424 |
$0.00 |
| 90744 |
|
203 |
190 |
$0.00 |
| 90378 |
|
15 |
14 |
$0.00 |