| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,838 |
47,592 |
$1.91M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,254 |
4,777 |
$330K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,453 |
2,379 |
$176K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,464 |
5,509 |
$144K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,101 |
7,753 |
$123K |
| 90461 |
|
4,959 |
4,738 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,782 |
1,639 |
$86K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,054 |
953 |
$47K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
918 |
836 |
$45K |
| 99460 |
|
969 |
879 |
$39K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
487 |
454 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
476 |
449 |
$30K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
608 |
557 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
303 |
276 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
904 |
602 |
$16K |
| 76801 |
|
348 |
303 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
801 |
752 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
670 |
629 |
$14K |
| 81002 |
|
19,119 |
12,996 |
$12K |
| 90686 |
|
1,141 |
1,048 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
288 |
278 |
$6K |
| 87428 |
|
86 |
78 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
50 |
$4K |
| 99462 |
|
153 |
116 |
$4K |
| 90670 |
|
2,719 |
2,607 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
61 |
50 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
222 |
210 |
$3K |
| 90633 |
|
1,854 |
1,769 |
$2K |
| 90715 |
|
58 |
56 |
$1K |
| 87449 |
|
153 |
122 |
$1K |
| 90723 |
|
2,216 |
2,129 |
$1K |
| 90632 |
|
38 |
31 |
$1K |
| 81025 |
|
143 |
136 |
$1K |
| 90648 |
|
2,159 |
2,051 |
$891.91 |
| 90680 |
|
1,788 |
1,717 |
$884.47 |
| 99324 |
|
70 |
58 |
$866.23 |
| 54150 |
|
14 |
13 |
$838.97 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$447.77 |
| 90677 |
|
225 |
208 |
$284.33 |
| 90685 |
|
33 |
28 |
$82.28 |
| 90710 |
|
127 |
124 |
$36.81 |
| 90734 |
|
32 |
29 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |