| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,943 |
7,661 |
$543K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,838 |
4,996 |
$499K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,567 |
1,393 |
$62K |
| 87428 |
|
764 |
685 |
$26K |
| 80305 |
|
1,864 |
1,464 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,222 |
1,749 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
138 |
127 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
122 |
114 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
666 |
515 |
$10K |
| 96127 |
|
2,779 |
2,330 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
347 |
316 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
84 |
$8K |
| 99460 |
|
85 |
85 |
$6K |
| 99383 |
|
58 |
49 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
46 |
40 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
61 |
$4K |
| 99215 |
Prolong outpt/office vis |
30 |
30 |
$4K |
| 99406 |
|
226 |
192 |
$4K |
| 92551 |
|
942 |
846 |
$4K |
| 99000 |
|
1,328 |
1,116 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
93 |
42 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
36 |
30 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
229 |
210 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
20 |
13 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
54 |
50 |
$2K |
| 99384 |
|
19 |
17 |
$2K |
| 99382 |
|
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
506 |
397 |
$1K |
| 36416 |
|
380 |
347 |
$910.91 |
| 99173 |
|
854 |
788 |
$792.06 |
| 90686 |
|
916 |
749 |
$710.30 |
| 0124A |
|
41 |
22 |
$686.34 |
| 90791 |
Psychiatric diagnostic evaluation |
21 |
14 |
$621.13 |
| 96160 |
|
692 |
612 |
$611.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
15 |
$563.05 |
| 0071A |
|
18 |
13 |
$520.94 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
55 |
52 |
$284.17 |
| 87807 |
|
27 |
26 |
$251.44 |
| 99457 |
|
26 |
26 |
$210.45 |
| 81003 |
|
32 |
26 |
$54.70 |
| 99177 |
|
14 |
14 |
$44.07 |
| 90656 |
|
37 |
37 |
$39.86 |
| 99174 |
|
12 |
12 |
$15.36 |
| 99072 |
|
793 |
417 |
$12.00 |
| 3074F |
|
4,814 |
4,086 |
$7.06 |
| 99051 |
|
415 |
365 |
$0.11 |
| 90670 |
|
24 |
24 |
$0.02 |
| 3008F |
|
7,808 |
6,612 |
$0.00 |
| 3079F |
|
1,121 |
978 |
$0.00 |
| 1036F |
|
3,236 |
2,732 |
$0.00 |
| 3075F |
|
608 |
539 |
$0.00 |
| 90480 |
|
29 |
15 |
$0.00 |
| 3080F |
|
169 |
154 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 3078F |
|
4,548 |
3,882 |
$0.00 |
| 3077F |
|
495 |
438 |
$0.00 |
| 1160F |
|
6,853 |
5,625 |
$0.00 |
| 3725F |
|
1,868 |
1,667 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90461 |
|
76 |
27 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
335 |
168 |
$0.00 |