| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
38,211 |
37,761 |
$2.13M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,877 |
7,426 |
$557K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,222 |
11,882 |
$517K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,379 |
16,425 |
$440K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,320 |
5,101 |
$360K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
7,462 |
7,390 |
$260K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,840 |
6,708 |
$236K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,025 |
3,838 |
$229K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,609 |
1,492 |
$147K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
836 |
814 |
$76K |
| 90461 |
|
4,331 |
4,241 |
$51K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,550 |
3,328 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
482 |
478 |
$33K |
| 99381 |
|
380 |
315 |
$22K |
| 99215 |
Prolong outpt/office vis |
306 |
301 |
$20K |
| 94010 |
|
1,250 |
1,230 |
$16K |
| 99051 |
|
570 |
539 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,147 |
1,075 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
129 |
127 |
$11K |
| 94060 |
|
308 |
304 |
$9K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
45 |
45 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
386 |
191 |
$6K |
| 92551 |
|
719 |
689 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
146 |
146 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
201 |
196 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
27 |
27 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
144 |
143 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
39 |
39 |
$1K |
| 99384 |
|
15 |
13 |
$834.72 |
| 90697 |
|
970 |
954 |
$555.39 |
| 36415 |
Collection of venous blood by venipuncture |
832 |
794 |
$491.50 |
| J3490 |
Unclassified drugs |
61 |
57 |
$431.97 |
| 96160 |
|
45 |
44 |
$266.17 |
| 90620 |
|
168 |
165 |
$177.50 |
| 85018 |
|
25 |
25 |
$74.50 |
| 90670 |
|
2,615 |
2,564 |
$22.00 |
| 90686 |
|
921 |
869 |
$20.00 |
| 90700 |
|
15 |
15 |
$0.00 |
| 90734 |
|
612 |
581 |
$0.00 |
| 90648 |
|
1,682 |
1,649 |
$0.00 |
| 90715 |
|
373 |
352 |
$0.00 |
| 90707 |
|
169 |
165 |
$0.00 |
| 90681 |
|
866 |
846 |
$0.00 |
| 90633 |
|
957 |
940 |
$0.00 |
| 90671 |
|
226 |
223 |
$0.00 |
| 90685 |
|
252 |
242 |
$0.00 |
| 90710 |
|
94 |
93 |
$0.00 |
| 97803 |
|
15 |
15 |
$0.00 |
| 90723 |
|
1,336 |
1,306 |
$0.00 |
| 90651 |
|
40 |
40 |
$0.00 |
| 90716 |
|
159 |
156 |
$0.00 |
| 90696 |
|
80 |
78 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |