| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,756 |
53,777 |
$3.72M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,263 |
15,194 |
$1.40M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34,165 |
33,993 |
$1.37M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16,173 |
15,693 |
$1.35M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,192 |
8,945 |
$880K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,723 |
9,699 |
$854K |
| 90461 |
|
19,662 |
19,560 |
$738K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,963 |
4,784 |
$184K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,666 |
1,662 |
$159K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
847 |
840 |
$93K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,217 |
4,202 |
$69K |
| 99188 |
|
3,419 |
3,405 |
$44K |
| 36416 |
|
8,601 |
8,111 |
$23K |
| 90473 |
|
1,352 |
1,351 |
$20K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
280 |
278 |
$17K |
| 83655 |
|
827 |
815 |
$10K |
| 99177 |
|
3,174 |
3,166 |
$7K |
| 0071A |
|
147 |
147 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
348 |
341 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
129 |
129 |
$4K |
| 96127 |
|
1,017 |
1,014 |
$4K |
| 0072A |
|
85 |
85 |
$3K |
| 99460 |
|
27 |
26 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
119 |
117 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
16 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
82 |
82 |
$948.00 |
| 0001A |
|
17 |
17 |
$600.00 |
| 36415 |
Collection of venous blood by venipuncture |
239 |
232 |
$592.10 |
| 87081 |
|
70 |
70 |
$456.56 |
| 96380 |
|
25 |
25 |
$449.04 |
| 0002A |
|
12 |
12 |
$400.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
61 |
54 |
$374.06 |
| 81001 |
|
87 |
84 |
$263.97 |
| 92552 |
|
14 |
14 |
$240.00 |
| 90686 |
|
9,904 |
9,847 |
$207.43 |
| 87420 |
|
18 |
18 |
$200.32 |
| 90674 |
|
2,601 |
2,598 |
$109.47 |
| 90670 |
|
8,482 |
8,446 |
$81.79 |
| 85018 |
|
26 |
26 |
$63.36 |
| 90648 |
|
6,297 |
6,265 |
$61.71 |
| 90672 |
|
4,901 |
4,895 |
$42.31 |
| 90723 |
|
3,700 |
3,682 |
$37.74 |
| 90633 |
|
1,730 |
1,720 |
$34.93 |
| 90651 |
|
381 |
381 |
$28.88 |
| 90661 |
|
569 |
569 |
$25.20 |
| 90697 |
|
1,915 |
1,911 |
$15.82 |
| 90688 |
|
1,051 |
1,049 |
$9.60 |
| 90677 |
|
698 |
696 |
$6.64 |
| 90660 |
|
593 |
592 |
$5.12 |
| 90671 |
|
513 |
513 |
$4.43 |
| 84030 |
|
25 |
25 |
$3.22 |
| 90734 |
|
231 |
231 |
$1.91 |
| 90710 |
|
168 |
166 |
$1.44 |
| 90681 |
|
959 |
953 |
$1.18 |
| 90715 |
|
98 |
98 |
$0.80 |
| 90619 |
|
71 |
71 |
$0.54 |
| 90700 |
|
39 |
39 |
$0.36 |
| 90716 |
|
26 |
26 |
$0.22 |
| 90707 |
|
26 |
26 |
$0.18 |
| 90685 |
|
13 |
13 |
$0.13 |
| 91300 |
|
226 |
222 |
$0.00 |
| 90380 |
|
14 |
14 |
$0.00 |
| 90696 |
|
141 |
140 |
$0.00 |
| 91307 |
|
422 |
418 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
53 |
52 |
$0.00 |