| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,171 |
7,567 |
$710K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,693 |
11,274 |
$666K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,694 |
2,974 |
$281K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,483 |
2,919 |
$259K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,753 |
2,298 |
$224K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,791 |
2,122 |
$192K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,133 |
3,270 |
$146K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,167 |
6,195 |
$127K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,208 |
2,829 |
$97K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,770 |
3,976 |
$75K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,699 |
2,375 |
$63K |
| 99173 |
|
5,942 |
5,251 |
$44K |
| 90670 |
|
2,104 |
1,627 |
$43K |
| 96127 |
|
2,844 |
2,340 |
$41K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
968 |
876 |
$31K |
| 90651 |
|
1,158 |
950 |
$29K |
| 90677 |
|
334 |
277 |
$19K |
| 90716 |
|
1,198 |
923 |
$17K |
| 90680 |
|
1,451 |
1,101 |
$16K |
| 90686 |
|
1,591 |
1,440 |
$15K |
| 83655 |
|
1,196 |
956 |
$14K |
| 90707 |
|
1,178 |
907 |
$14K |
| 90633 |
|
1,274 |
1,019 |
$13K |
| 90648 |
|
1,524 |
1,122 |
$12K |
| 90734 |
|
804 |
595 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
862 |
816 |
$11K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
726 |
676 |
$11K |
| 90723 |
|
1,162 |
848 |
$9K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
201 |
190 |
$9K |
| 90698 |
|
509 |
412 |
$8K |
| 90744 |
|
505 |
411 |
$8K |
| 90715 |
|
525 |
376 |
$6K |
| 36416 |
|
1,518 |
1,261 |
$6K |
| 87807 |
|
605 |
526 |
$6K |
| 90619 |
|
321 |
277 |
$5K |
| 99381 |
|
50 |
50 |
$5K |
| 0071A |
|
94 |
90 |
$4K |
| 90696 |
|
404 |
306 |
$4K |
| 0072A |
|
81 |
80 |
$3K |
| 85018 |
|
1,368 |
1,108 |
$3K |
| 99383 |
|
15 |
14 |
$1K |
| 81003 |
|
465 |
405 |
$1K |
| 90656 |
|
55 |
53 |
$919.05 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12 |
12 |
$831.00 |
| 90713 |
|
90 |
71 |
$710.03 |
| 90700 |
|
57 |
43 |
$498.83 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
17 |
13 |
$411.40 |
| 90685 |
|
28 |
26 |
$244.02 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$188.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
69 |
$7.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
32 |
25 |
$7.50 |
| 1038F |
|
2,015 |
1,404 |
$0.00 |
| 1036F |
|
3,939 |
2,993 |
$0.00 |
| 4140F |
|
582 |
382 |
$0.00 |
| 1220F |
|
1,248 |
930 |
$0.00 |
| 3351F |
|
879 |
565 |
$0.00 |
| 91307 |
|
84 |
79 |
$0.00 |
| 3210F |
|
2,570 |
1,932 |
$0.00 |
| 1159F |
|
8,844 |
6,316 |
$0.00 |
| 1003F |
|
4,126 |
3,197 |
$0.00 |
| 4274F |
|
664 |
596 |
$0.00 |
| 4120F |
|
298 |
289 |
$0.00 |
| 99072 |
|
1,927 |
1,547 |
$0.00 |