| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,671 |
15,039 |
$1.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,483 |
7,750 |
$644K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,291 |
3,277 |
$430K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,341 |
3,323 |
$359K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,865 |
2,774 |
$323K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,516 |
2,493 |
$299K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,817 |
1,641 |
$147K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,838 |
9,589 |
$43K |
| 92587 |
|
5,433 |
5,376 |
$34K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,123 |
2,868 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
490 |
464 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,108 |
4,017 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,625 |
2,395 |
$16K |
| 99188 |
|
2,581 |
2,561 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
302 |
275 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,264 |
2,068 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,130 |
2,984 |
$10K |
| 99384 |
|
39 |
39 |
$5K |
| 90670 |
|
1,617 |
1,602 |
$4K |
| 99383 |
|
31 |
31 |
$4K |
| 83655 |
|
1,181 |
1,169 |
$3K |
| 95117 |
|
169 |
79 |
$2K |
| 99382 |
|
14 |
13 |
$2K |
| 0072A |
|
93 |
75 |
$1K |
| 0071A |
|
103 |
88 |
$1K |
| 0001A |
|
92 |
89 |
$877.76 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
341 |
305 |
$827.89 |
| 85018 |
|
1,206 |
1,195 |
$576.57 |
| 90688 |
|
229 |
229 |
$487.78 |
| 90716 |
|
819 |
807 |
$360.00 |
| 0002A |
|
62 |
62 |
$320.00 |
| 81002 |
|
391 |
366 |
$299.00 |
| 90707 |
|
784 |
772 |
$162.49 |
| 90672 |
|
83 |
83 |
$160.65 |
| 90651 |
|
575 |
566 |
$133.66 |
| 90700 |
|
836 |
825 |
$65.76 |
| 90686 |
|
1,567 |
1,549 |
$41.67 |
| 90633 |
|
944 |
925 |
$34.85 |
| 90713 |
|
268 |
266 |
$31.97 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
162 |
141 |
$27.84 |
| 92588 |
|
16 |
16 |
$22.38 |
| 99173 |
|
5,737 |
5,479 |
$2.89 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,093 |
1,991 |
$0.00 |
| 90698 |
|
1,273 |
1,261 |
$0.00 |
| 90744 |
|
941 |
915 |
$0.00 |
| 90680 |
|
993 |
988 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,644 |
2,492 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,999 |
7,604 |
$0.00 |
| 91307 |
|
164 |
109 |
$0.00 |
| 90620 |
|
73 |
70 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
12 |
$0.00 |
| 90734 |
|
537 |
532 |
$0.00 |
| 90649 |
|
327 |
325 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
16 |
15 |
$0.00 |
| 90715 |
|
181 |
181 |
$0.00 |
| 90648 |
|
57 |
57 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 91300 |
|
109 |
94 |
$0.00 |
| 99499 |
|
80 |
76 |
$0.00 |
| 90687 |
|
16 |
16 |
$0.00 |