| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,908 |
29,433 |
$1.68M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,029 |
8,658 |
$756K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26,529 |
24,409 |
$726K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,184 |
4,988 |
$412K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,111 |
3,929 |
$316K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,462 |
3,314 |
$276K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,512 |
4,445 |
$218K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,393 |
6,106 |
$150K |
| 90461 |
|
6,975 |
6,471 |
$126K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,007 |
8,793 |
$105K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,158 |
1,123 |
$104K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,205 |
3,064 |
$99K |
| 96127 |
|
9,316 |
8,604 |
$79K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,573 |
1,540 |
$58K |
| G9153 |
Mapcp demonstration - physician incentive pool |
603 |
602 |
$44K |
| 99381 |
|
250 |
238 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,591 |
2,409 |
$20K |
| 99215 |
Prolong outpt/office vis |
156 |
146 |
$19K |
| 85018 |
|
8,724 |
8,288 |
$18K |
| 96161 |
|
2,070 |
1,828 |
$15K |
| 96160 |
|
1,936 |
1,852 |
$13K |
| 81002 |
|
4,931 |
4,639 |
$13K |
| 0002A |
|
257 |
255 |
$10K |
| 0001A |
|
247 |
242 |
$10K |
| 0072A |
|
228 |
228 |
$9K |
| 99188 |
|
711 |
694 |
$8K |
| 0071A |
|
211 |
211 |
$8K |
| 99383 |
|
73 |
59 |
$8K |
| 92551 |
|
1,219 |
1,147 |
$6K |
| 99051 |
|
535 |
515 |
$6K |
| 87081 |
|
784 |
758 |
$5K |
| 99382 |
|
40 |
27 |
$4K |
| 0011A |
|
78 |
65 |
$3K |
| 99384 |
|
23 |
12 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
211 |
199 |
$3K |
| 0012A |
|
64 |
62 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| 90656 |
|
166 |
166 |
$997.54 |
| 87428 |
|
14 |
14 |
$896.00 |
| 0003A |
|
21 |
21 |
$840.00 |
| 87807 |
|
60 |
55 |
$630.72 |
| 0082A |
|
14 |
14 |
$560.00 |
| 90686 |
|
2,458 |
2,394 |
$545.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
61 |
$226.92 |
| 96380 |
|
13 |
13 |
$208.69 |
| 90670 |
|
1,116 |
1,071 |
$206.09 |
| 90715 |
|
45 |
41 |
$179.04 |
| 90651 |
|
186 |
167 |
$120.77 |
| 90672 |
|
204 |
198 |
$120.17 |
| 90698 |
|
1,204 |
1,142 |
$114.19 |
| 90685 |
|
126 |
118 |
$18.83 |
| 99173 |
|
164 |
153 |
$4.61 |
| 91301 |
|
93 |
83 |
$0.91 |
| 90677 |
|
145 |
145 |
$0.29 |
| 90680 |
|
335 |
326 |
$0.00 |
| 90744 |
|
166 |
163 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
73 |
71 |
$0.00 |
| 92558 |
|
68 |
65 |
$0.00 |
| 91307 |
|
267 |
244 |
$0.00 |
| 99072 |
|
112 |
84 |
$0.00 |
| 90633 |
|
242 |
230 |
$0.00 |
| 90734 |
|
172 |
145 |
$0.00 |
| 91300 |
|
423 |
374 |
$0.00 |
| 90707 |
|
33 |
27 |
$0.00 |
| 90713 |
|
35 |
29 |
$0.00 |