| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,418 |
26,790 |
$1.98M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,801 |
7,635 |
$867K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,594 |
6,641 |
$720K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20,697 |
17,643 |
$581K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,870 |
4,840 |
$523K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,094 |
3,458 |
$313K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,089 |
2,344 |
$265K |
| 90461 |
|
10,740 |
8,903 |
$199K |
| 99401 |
|
11,314 |
9,290 |
$76K |
| 90671 |
|
785 |
741 |
$60K |
| 99460 |
|
685 |
597 |
$54K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,600 |
1,479 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,493 |
1,880 |
$31K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,114 |
917 |
$28K |
| 99188 |
|
1,391 |
1,355 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,866 |
2,338 |
$15K |
| 99462 |
|
815 |
609 |
$12K |
| 92587 |
|
1,036 |
1,013 |
$12K |
| 96160 |
|
19,437 |
15,277 |
$11K |
| 85018 |
|
6,062 |
5,769 |
$6K |
| 99383 |
|
28 |
28 |
$4K |
| 99381 |
|
46 |
41 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
42 |
$2K |
| 99384 |
|
12 |
12 |
$2K |
| 96127 |
|
2,794 |
1,893 |
$1K |
| 87807 |
|
234 |
214 |
$1K |
| 90647 |
|
2,362 |
2,196 |
$1K |
| 90633 |
|
1,714 |
1,450 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$816.91 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$660.66 |
| 90670 |
|
4,377 |
4,012 |
$590.13 |
| 90686 |
|
4,453 |
3,801 |
$564.01 |
| 0071A |
|
13 |
13 |
$470.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
325 |
318 |
$353.67 |
| 90696 |
|
134 |
79 |
$291.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
14 |
$196.72 |
| 90651 |
|
1,057 |
846 |
$168.05 |
| 90688 |
|
319 |
305 |
$154.03 |
| 90698 |
|
353 |
349 |
$96.02 |
| 99173 |
|
2,470 |
1,813 |
$78.76 |
| 81002 |
|
31 |
28 |
$34.28 |
| 90707 |
|
119 |
113 |
$20.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$0.96 |
| 90681 |
|
1,050 |
981 |
$0.00 |
| 99072 |
|
1,081 |
983 |
$0.00 |
| 90734 |
|
662 |
538 |
$0.00 |
| 90710 |
|
189 |
95 |
$0.00 |
| 90700 |
|
36 |
36 |
$0.00 |
| 90685 |
|
28 |
28 |
$0.00 |
| 90715 |
|
138 |
105 |
$0.00 |
| 90716 |
|
106 |
105 |
$0.00 |
| 90620 |
|
76 |
74 |
$0.00 |
| 90723 |
|
1,512 |
1,413 |
$0.00 |
| 97802 |
|
427 |
425 |
$0.00 |
| 90697 |
|
57 |
57 |
$0.00 |
| 91307 |
|
41 |
33 |
$0.00 |