| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,582 |
23,331 |
$1.60M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,413 |
12,691 |
$1.28M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,565 |
9,568 |
$948K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,747 |
6,335 |
$576K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,722 |
3,582 |
$318K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13,558 |
10,068 |
$237K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19,632 |
17,852 |
$228K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,644 |
3,251 |
$171K |
| 99460 |
|
2,777 |
2,516 |
$170K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,747 |
1,659 |
$151K |
| 59425 |
|
1,781 |
1,296 |
$128K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,172 |
1,092 |
$115K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,519 |
2,324 |
$102K |
| 54150 |
|
810 |
711 |
$74K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
648 |
606 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
569 |
528 |
$68K |
| 90474 |
|
4,470 |
3,939 |
$54K |
| 99219 |
|
576 |
523 |
$54K |
| 59426 |
|
974 |
451 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
587 |
537 |
$39K |
| 99217 |
|
723 |
649 |
$36K |
| 90677 |
|
665 |
623 |
$35K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
664 |
624 |
$33K |
| 90651 |
|
1,285 |
1,210 |
$29K |
| 90715 |
|
1,559 |
1,378 |
$28K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
571 |
182 |
$25K |
| 90686 |
|
5,797 |
5,521 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,354 |
813 |
$21K |
| 99462 |
|
756 |
542 |
$18K |
| 90739 |
|
106 |
102 |
$15K |
| 99225 |
|
201 |
144 |
$11K |
| 81025 |
|
1,399 |
1,240 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
550 |
517 |
$7K |
| 90670 |
|
5,524 |
4,913 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
622 |
495 |
$7K |
| 36416 |
|
2,157 |
1,992 |
$7K |
| 90682 |
|
135 |
123 |
$6K |
| 81003 |
|
2,948 |
2,537 |
$5K |
| 85018 |
|
1,830 |
1,710 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
44 |
43 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
48 |
30 |
$3K |
| 90656 |
|
465 |
454 |
$2K |
| 0072A |
|
52 |
51 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
27 |
22 |
$2K |
| 90716 |
|
1,675 |
1,511 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 90473 |
|
181 |
155 |
$2K |
| 99442 |
|
77 |
55 |
$1K |
| 81002 |
|
424 |
258 |
$1K |
| 0071A |
|
39 |
32 |
$1K |
| 90707 |
|
1,634 |
1,463 |
$980.17 |
| 87807 |
|
102 |
95 |
$862.95 |
| 90710 |
|
625 |
599 |
$840.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
101 |
92 |
$822.55 |
| 36415 |
Collection of venous blood by venipuncture |
156 |
154 |
$807.90 |
| 3044F |
|
1,815 |
1,488 |
$580.00 |
| 90671 |
|
1,146 |
941 |
$535.64 |
| 99173 |
|
195 |
192 |
$367.77 |
| 93000 |
|
27 |
25 |
$331.17 |
| 96127 |
|
78 |
75 |
$315.72 |
| 87210 |
|
83 |
67 |
$253.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
20 |
20 |
$198.98 |
| 96152 |
|
20 |
12 |
$193.77 |
| 90698 |
|
5,853 |
5,271 |
$187.57 |
| 90620 |
|
231 |
213 |
$181.36 |
| 90734 |
|
521 |
491 |
$175.79 |
| 90744 |
|
3,230 |
2,860 |
$152.78 |
| 90633 |
|
3,256 |
2,959 |
$139.87 |
| 90680 |
|
4,828 |
4,195 |
$113.42 |
| 3046F |
|
33 |
25 |
$100.00 |
| 90685 |
|
492 |
471 |
$18.08 |
| 1111F |
|
17 |
12 |
$0.00 |
| 3080F |
|
541 |
474 |
$0.00 |
| 3008F |
|
10,051 |
8,621 |
$0.00 |
| 3353F |
|
711 |
660 |
$0.00 |
| 90696 |
|
684 |
654 |
$0.00 |
| 3049F |
|
150 |
128 |
$0.00 |
| 4010F |
|
1,390 |
1,153 |
$0.00 |
| 3351F |
|
413 |
383 |
$0.00 |
| 3079F |
|
2,565 |
2,200 |
$0.00 |
| 3074F |
|
5,306 |
4,369 |
$0.00 |
| 90619 |
|
342 |
305 |
$0.00 |
| 3352F |
|
482 |
440 |
$0.00 |
| 3354F |
|
244 |
219 |
$0.00 |
| 3060F |
|
327 |
245 |
$0.00 |
| 90697 |
|
1,198 |
954 |
$0.00 |
| 3075F |
|
1,082 |
957 |
$0.00 |
| 3061F |
|
104 |
89 |
$0.00 |
| 3048F |
|
316 |
246 |
$0.00 |
| 3078F |
|
3,921 |
3,248 |
$0.00 |
| 3077F |
|
676 |
594 |
$0.00 |
| 3050F |
|
49 |
38 |
$0.00 |