| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,519 |
24,053 |
$4.07M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,053 |
14,686 |
$2.11M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,367 |
3,578 |
$426K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,832 |
3,154 |
$374K |
| 99215 |
Prolong outpt/office vis |
2,928 |
2,634 |
$322K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,268 |
6,724 |
$196K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,417 |
1,055 |
$170K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,592 |
1,668 |
$167K |
| 90834 |
Psychotherapy, 45 minutes with patient |
513 |
463 |
$160K |
| 90791 |
Psychiatric diagnostic evaluation |
398 |
395 |
$105K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
850 |
654 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
882 |
593 |
$64K |
| 20610 |
|
523 |
398 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
684 |
450 |
$22K |
| 0012A |
|
119 |
116 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
191 |
120 |
$9K |
| 90656 |
|
79 |
70 |
$8K |
| 0011A |
|
104 |
102 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
458 |
401 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,737 |
1,295 |
$2K |
| 99382 |
|
15 |
15 |
$1K |
| 99205 |
Prolong outpt/office vis |
55 |
16 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$790.24 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
28 |
28 |
$366.03 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$357.44 |
| 73130 |
|
43 |
37 |
$192.56 |
| 73030 |
|
29 |
24 |
$156.90 |
| 90686 |
|
2,337 |
1,595 |
$35.94 |
| 90670 |
|
3,248 |
1,895 |
$0.00 |
| 90648 |
|
2,046 |
1,904 |
$0.00 |
| 99188 |
|
367 |
361 |
$0.00 |
| 90461 |
|
6,607 |
4,118 |
$0.00 |
| 90633 |
|
1,633 |
723 |
$0.00 |
| 96160 |
|
254 |
248 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$0.00 |
| 90685 |
|
577 |
190 |
$0.00 |
| 99173 |
|
176 |
174 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
51 |
50 |
$0.00 |
| 87634 |
|
14 |
14 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
235 |
74 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
499 |
154 |
$0.00 |
| 90707 |
|
26 |
26 |
$0.00 |
| 90710 |
|
78 |
15 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90715 |
|
39 |
12 |
$0.00 |
| 90680 |
|
1,211 |
796 |
$0.00 |
| 90723 |
|
1,257 |
1,167 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,869 |
5,549 |
$0.00 |
| 96161 |
|
1,170 |
982 |
$0.00 |
| 90677 |
|
399 |
380 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
318 |
282 |
$0.00 |
| 90698 |
|
428 |
78 |
$0.00 |
| 96127 |
|
1,055 |
1,016 |
$0.00 |
| 90744 |
|
77 |
14 |
$0.00 |
| 99406 |
|
50 |
39 |
$0.00 |
| 94760 |
|
165 |
156 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
37 |
12 |
$0.00 |