| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
73,286 |
60,096 |
$2.25M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,391 |
24,229 |
$1.26M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17,452 |
14,016 |
$878K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13,808 |
12,181 |
$749K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
10,224 |
8,683 |
$588K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,817 |
10,211 |
$578K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26,160 |
20,980 |
$453K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22,742 |
19,011 |
$328K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28,109 |
23,040 |
$304K |
| 92551 |
|
26,197 |
22,512 |
$162K |
| T1015 |
Clinic visit/encounter, all-inclusive |
13,550 |
5,522 |
$132K |
| 99051 |
|
10,280 |
8,335 |
$113K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,595 |
3,946 |
$92K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,989 |
8,042 |
$79K |
| 99381 |
|
1,221 |
904 |
$58K |
| 90473 |
|
5,547 |
4,777 |
$45K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,833 |
3,883 |
$38K |
| 99173 |
|
28,044 |
23,612 |
$36K |
| 83655 |
|
3,676 |
2,595 |
$22K |
| 87807 |
|
2,317 |
1,918 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,733 |
1,381 |
$9K |
| 99188 |
|
619 |
364 |
$6K |
| 96160 |
|
4,327 |
3,491 |
$5K |
| 0071A |
|
132 |
117 |
$4K |
| 0072A |
|
102 |
93 |
$4K |
| 99499 |
|
305 |
284 |
$3K |
| 99401 |
|
915 |
754 |
$3K |
| 94760 |
|
10,876 |
8,939 |
$3K |
| 85018 |
|
3,042 |
1,989 |
$3K |
| 99215 |
Prolong outpt/office vis |
49 |
28 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
122 |
110 |
$879.45 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
66 |
38 |
$701.45 |
| 81002 |
|
570 |
365 |
$609.17 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
188 |
170 |
$597.94 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
255 |
148 |
$456.83 |
| 99382 |
|
43 |
26 |
$416.20 |
| 99383 |
|
20 |
18 |
$413.35 |
| G9919 |
Screening performed and positive and provision of recommendations |
12 |
12 |
$360.00 |
| 99050 |
|
36 |
33 |
$256.84 |
| 96380 |
|
16 |
12 |
$154.42 |
| 96127 |
|
119 |
75 |
$150.59 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
40 |
32 |
$140.76 |
| S9470 |
Nutritional counseling, dietitian visit |
120 |
68 |
$82.26 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
251 |
139 |
$77.13 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
313 |
233 |
$33.55 |
| 95115 |
|
27 |
20 |
$32.95 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
20 |
13 |
$15.84 |
| 36416 |
|
514 |
328 |
$14.65 |
| 90656 |
|
362 |
269 |
$12.50 |
| 90633 |
|
7,564 |
5,859 |
$0.35 |
| 90651 |
|
1,771 |
1,395 |
$0.11 |
| 90648 |
|
5,588 |
4,767 |
$0.08 |
| 90677 |
|
1,109 |
939 |
$0.01 |
| 90680 |
|
5,595 |
4,893 |
$0.00 |
| 90686 |
|
6,104 |
5,145 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
1,247 |
1,012 |
$0.00 |
| 90688 |
|
67 |
56 |
$0.00 |
| 90620 |
|
1,223 |
967 |
$0.00 |
| 90723 |
|
3,500 |
3,084 |
$0.00 |
| 90696 |
|
668 |
575 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,782 |
1,347 |
$0.00 |
| 90716 |
|
716 |
521 |
$0.00 |
| 90697 |
|
1,588 |
1,346 |
$0.00 |
| 90619 |
|
649 |
521 |
$0.00 |
| 97802 |
|
2,866 |
2,209 |
$0.00 |
| 91307 |
|
253 |
200 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,339 |
1,050 |
$0.00 |
| 90698 |
|
190 |
116 |
$0.00 |
| 3008F |
|
1,600 |
1,375 |
$0.00 |
| 90734 |
|
1,631 |
1,318 |
$0.00 |
| 90670 |
|
8,710 |
7,446 |
$0.00 |
| 90700 |
|
571 |
475 |
$0.00 |
| 90710 |
|
833 |
697 |
$0.00 |
| 90715 |
|
465 |
375 |
$0.00 |
| 90649 |
|
662 |
557 |
$0.00 |
| 91300 |
|
44 |
42 |
$0.00 |
| 90707 |
|
689 |
508 |
$0.00 |
| 90658 |
|
31 |
29 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
15 |
$0.00 |
| 90685 |
|
44 |
40 |
$0.00 |
| 90671 |
|
52 |
16 |
$0.00 |