| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
419,229 |
328,070 |
$35.41M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66,941 |
60,464 |
$7.13M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55,009 |
52,760 |
$5.21M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31,582 |
30,796 |
$2.98M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37,829 |
34,834 |
$2.07M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19,390 |
18,446 |
$1.72M |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
255,214 |
217,107 |
$1.34M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13,051 |
12,710 |
$1.30M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
11,476 |
11,396 |
$1.20M |
| 87070 |
|
249,290 |
212,266 |
$1.19M |
| 99050 |
|
99,910 |
89,965 |
$983K |
| 92587 |
|
41,986 |
41,001 |
$968K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
62,471 |
60,751 |
$962K |
| 87184 |
|
249,440 |
212,418 |
$956K |
| 99381 |
|
9,358 |
9,264 |
$906K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
63,491 |
31,130 |
$674K |
| 13152 |
|
1,484 |
1,340 |
$671K |
| 17110 |
|
5,864 |
5,404 |
$643K |
| 92551 |
|
79,072 |
76,541 |
$466K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,004 |
2,966 |
$408K |
| 90461 |
|
35,274 |
34,379 |
$385K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12,661 |
11,244 |
$293K |
| 99382 |
|
2,472 |
2,438 |
$256K |
| 10060 |
|
2,420 |
2,261 |
$256K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
10,866 |
9,315 |
$255K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,165 |
2,132 |
$219K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,656 |
3,588 |
$182K |
| 99383 |
|
1,582 |
1,553 |
$172K |
| 10120 |
|
1,017 |
1,002 |
$151K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
42,893 |
39,705 |
$144K |
| 17111 |
|
1,129 |
1,100 |
$125K |
| 69210 |
|
2,925 |
2,832 |
$113K |
| 13132 |
|
318 |
313 |
$108K |
| 90677 |
|
1,888 |
1,875 |
$90K |
| 90697 |
|
3,841 |
3,816 |
$77K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,250 |
1,242 |
$64K |
| 99460 |
|
1,283 |
1,274 |
$62K |
| 11000 |
|
1,949 |
1,750 |
$61K |
| 97597 |
|
3,647 |
3,260 |
$60K |
| 99215 |
Prolong outpt/office vis |
218 |
213 |
$37K |
| 99384 |
|
317 |
308 |
$37K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
160 |
159 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,054 |
1,965 |
$32K |
| 81000 |
|
10,153 |
9,625 |
$28K |
| 96160 |
|
571 |
567 |
$25K |
| 36410 |
|
3,905 |
3,762 |
$24K |
| 99401 |
|
444 |
442 |
$17K |
| 90670 |
|
9,855 |
9,727 |
$13K |
| 99462 |
|
508 |
453 |
$12K |
| 90686 |
|
5,099 |
5,007 |
$11K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
160 |
152 |
$10K |
| 87081 |
|
2,311 |
2,020 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
583 |
477 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
463 |
444 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
45,306 |
41,722 |
$6K |
| 90672 |
|
1,477 |
1,465 |
$5K |
| 12004 |
|
37 |
37 |
$5K |
| 90715 |
|
4,684 |
4,573 |
$5K |
| 13151 |
|
15 |
15 |
$5K |
| 90710 |
|
8,545 |
8,473 |
$4K |
| 36406 |
|
616 |
596 |
$4K |
| 90707 |
|
4,127 |
4,065 |
$3K |
| 13131 |
|
12 |
12 |
$3K |
| 86618 |
|
258 |
129 |
$3K |
| 90734 |
|
4,733 |
4,626 |
$2K |
| 83655 |
|
188 |
184 |
$2K |
| 11443 |
|
13 |
13 |
$2K |
| 90723 |
|
13,984 |
13,805 |
$1K |
| 90656 |
|
720 |
720 |
$1K |
| 94760 |
|
4,018 |
3,644 |
$1K |
| 87807 |
|
145 |
142 |
$1K |
| 90688 |
|
372 |
370 |
$973.78 |
| 99173 |
|
6,917 |
6,791 |
$790.24 |
| 90716 |
|
2,202 |
2,162 |
$775.32 |
| 36400 |
|
70 |
65 |
$756.89 |
| 90380 |
|
23 |
23 |
$623.70 |
| 86738 |
|
48 |
48 |
$482.22 |
| 11900 |
|
16 |
16 |
$434.70 |
| 90698 |
|
3,579 |
3,535 |
$432.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
13 |
$431.04 |
| 96380 |
|
21 |
21 |
$413.64 |
| 90744 |
|
3,566 |
3,501 |
$388.98 |
| 92567 |
|
31 |
31 |
$307.23 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
38 |
37 |
$302.02 |
| 85018 |
|
5,843 |
5,523 |
$287.96 |
| 94761 |
|
932 |
849 |
$236.38 |
| 90700 |
|
4,639 |
4,565 |
$220.64 |
| 90473 |
|
14 |
14 |
$215.45 |
| 99177 |
|
1,159 |
1,137 |
$115.17 |
| 90696 |
|
4,995 |
4,940 |
$67.13 |
| 81002 |
|
32 |
32 |
$62.66 |
| 90713 |
|
1,105 |
1,078 |
$46.34 |
| 90648 |
|
4,459 |
4,379 |
$25.00 |
| 99000 |
|
16,912 |
15,873 |
$21.97 |
| 90687 |
|
15 |
14 |
$13.30 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
14 |
$0.00 |
| 92583 |
|
109 |
107 |
$0.00 |
| 36416 |
|
34 |
31 |
$0.00 |
| 87084 |
|
18 |
18 |
$0.00 |
| 86215 |
|
40 |
40 |
$0.00 |
| 90633 |
|
50 |
50 |
$0.00 |
| 90714 |
|
12 |
12 |
$0.00 |
| 90685 |
|
111 |
111 |
$0.00 |