| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,963 |
10,504 |
$551K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,567 |
3,243 |
$247K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,366 |
1,271 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,493 |
1,390 |
$97K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
987 |
936 |
$67K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,646 |
4,238 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,167 |
1,950 |
$57K |
| 99051 |
|
3,317 |
3,009 |
$54K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,102 |
1,887 |
$35K |
| 92551 |
|
4,308 |
3,976 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
470 |
389 |
$24K |
| 99383 |
|
308 |
294 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
220 |
212 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
362 |
334 |
$22K |
| 99384 |
|
230 |
213 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,584 |
1,330 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
364 |
274 |
$11K |
| 96160 |
|
3,239 |
2,367 |
$11K |
| 99382 |
|
123 |
120 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,115 |
889 |
$9K |
| 99173 |
|
4,509 |
4,123 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
596 |
247 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
97 |
81 |
$6K |
| 85018 |
|
1,851 |
1,572 |
$4K |
| 81002 |
|
942 |
771 |
$2K |
| 90480 |
|
47 |
35 |
$1K |
| 99385 |
|
17 |
14 |
$962.04 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
19 |
$932.47 |
| 81025 |
|
148 |
126 |
$593.14 |
| 96161 |
|
151 |
115 |
$529.10 |
| 99050 |
|
32 |
29 |
$504.22 |
| 99188 |
|
32 |
27 |
$481.00 |
| 90474 |
|
43 |
27 |
$246.51 |
| 90620 |
|
390 |
367 |
$0.00 |
| 90686 |
|
1,973 |
1,808 |
$0.00 |
| 3008F |
|
4,900 |
4,409 |
$0.00 |
| 90698 |
|
29 |
25 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 90680 |
|
63 |
52 |
$0.00 |
| 90656 |
|
16 |
15 |
$0.00 |
| 90648 |
|
111 |
92 |
$0.00 |
| 90649 |
|
543 |
498 |
$0.00 |
| 90670 |
|
670 |
561 |
$0.00 |
| 90633 |
|
241 |
224 |
$0.00 |
| 90707 |
|
53 |
49 |
$0.00 |
| 90685 |
|
249 |
231 |
$0.00 |
| 90734 |
|
551 |
511 |
$0.00 |
| 3511F |
|
299 |
271 |
$0.00 |
| 91322 |
|
23 |
19 |
$0.00 |
| 90715 |
|
109 |
103 |
$0.00 |
| 90710 |
|
125 |
109 |
$0.00 |
| 99072 |
|
1,083 |
877 |
$0.00 |
| 90700 |
|
20 |
12 |
$0.00 |
| 90661 |
|
90 |
84 |
$0.00 |