| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,839 |
45,025 |
$2.76M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,356 |
14,569 |
$1.29M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,615 |
5,505 |
$438K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,077 |
4,681 |
$365K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,029 |
3,914 |
$307K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,745 |
1,716 |
$145K |
| 90686 |
|
12,019 |
11,602 |
$141K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,233 |
4,069 |
$56K |
| 90677 |
|
332 |
310 |
$55K |
| 90670 |
|
1,874 |
1,813 |
$52K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,780 |
1,829 |
$49K |
| 92551 |
|
3,491 |
3,399 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,390 |
15,731 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,554 |
6,328 |
$31K |
| 99173 |
|
11,910 |
11,592 |
$28K |
| 90648 |
|
2,296 |
2,201 |
$25K |
| 99188 |
|
947 |
928 |
$19K |
| 90723 |
|
867 |
832 |
$19K |
| 90680 |
|
629 |
603 |
$16K |
| 0072A |
|
364 |
308 |
$14K |
| 90656 |
|
963 |
936 |
$14K |
| 0071A |
|
328 |
325 |
$13K |
| 90461 |
|
3,674 |
3,538 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
362 |
349 |
$12K |
| 0002A |
|
271 |
265 |
$11K |
| 90651 |
|
250 |
243 |
$10K |
| 90734 |
|
258 |
251 |
$9K |
| 0001A |
|
201 |
197 |
$8K |
| 99051 |
|
14,059 |
13,448 |
$8K |
| 87081 |
|
1,615 |
1,563 |
$8K |
| 90633 |
|
467 |
458 |
$7K |
| 99000 |
|
6,556 |
6,410 |
$6K |
| 91321 |
|
79 |
75 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,505 |
3,157 |
$6K |
| 90710 |
|
50 |
49 |
$5K |
| 90480 |
|
203 |
190 |
$4K |
| 96127 |
|
811 |
718 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
39 |
$3K |
| 91322 |
|
34 |
29 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
48 |
46 |
$2K |
| 0003A |
|
32 |
32 |
$1K |
| 85018 |
|
536 |
520 |
$1K |
| 0111A |
|
30 |
30 |
$1K |
| 0124A |
|
32 |
30 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
20 |
18 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
56 |
$994.48 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
89 |
87 |
$734.65 |
| 90715 |
|
44 |
42 |
$674.77 |
| 36416 |
|
1,469 |
1,379 |
$418.23 |
| 83655 |
|
30 |
28 |
$363.26 |
| 99462 |
|
15 |
13 |
$361.30 |
| 90696 |
|
25 |
25 |
$353.62 |
| 99072 |
|
3,381 |
3,330 |
$307.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
16 |
$150.00 |
| 90474 |
|
135 |
122 |
$116.14 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
42 |
$111.93 |
| 82247 |
|
16 |
15 |
$89.96 |
| 86580 |
|
14 |
12 |
$75.05 |
| 96161 |
|
16 |
15 |
$26.12 |
| 81003 |
|
13 |
13 |
$25.76 |
| 94760 |
|
15 |
14 |
$12.74 |
| 91311 |
|
75 |
65 |
$0.56 |
| 91312 |
|
32 |
30 |
$0.19 |
| 91307 |
|
17 |
16 |
$0.17 |
| 1220F |
|
75 |
74 |
$0.00 |