| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,374 |
15,960 |
$661K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,355 |
3,299 |
$252K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,052 |
2,981 |
$239K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,569 |
2,519 |
$216K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,918 |
2,623 |
$161K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,998 |
1,964 |
$160K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,896 |
1,844 |
$107K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,902 |
3,838 |
$34K |
| 92552 |
|
5,272 |
5,149 |
$32K |
| 99381 |
|
266 |
263 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,583 |
6,431 |
$14K |
| 99383 |
|
135 |
135 |
$14K |
| 99382 |
|
132 |
131 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,054 |
4,353 |
$10K |
| 90619 |
|
234 |
231 |
$5K |
| 90671 |
|
742 |
728 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,170 |
1,106 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,927 |
2,826 |
$4K |
| 90670 |
|
1,529 |
1,508 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
956 |
908 |
$2K |
| 90686 |
|
949 |
937 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
13 |
$2K |
| 90698 |
|
2,365 |
2,324 |
$1K |
| 90716 |
|
1,016 |
1,000 |
$1K |
| 90744 |
|
1,225 |
1,210 |
$1K |
| 90680 |
|
1,549 |
1,522 |
$1K |
| 90707 |
|
1,042 |
1,019 |
$847.21 |
| 90633 |
|
1,114 |
1,093 |
$618.09 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
360 |
298 |
$362.81 |
| 90651 |
|
499 |
489 |
$307.43 |
| 90715 |
|
146 |
144 |
$292.78 |
| 87807 |
|
115 |
113 |
$223.65 |
| 90734 |
|
149 |
148 |
$161.90 |
| 81002 |
|
229 |
178 |
$145.41 |
| 90696 |
|
187 |
185 |
$80.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
92 |
88 |
$62.73 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
249 |
216 |
$4.50 |