| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,158 |
42,980 |
$9.54M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,794 |
6,548 |
$1.47M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,328 |
4,813 |
$1.14M |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
7,811 |
7,549 |
$1.07M |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,393 |
4,602 |
$1.00M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,414 |
3,400 |
$729K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,164 |
2,130 |
$448K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,154 |
2,140 |
$445K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,592 |
2,522 |
$433K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,355 |
3,311 |
$263K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,104 |
3,021 |
$127K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,526 |
10,274 |
$120K |
| G9153 |
Mapcp demonstration - physician incentive pool |
2,451 |
2,371 |
$118K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
587 |
583 |
$113K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,497 |
1,411 |
$73K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
624 |
618 |
$41K |
| 87807 |
|
909 |
871 |
$28K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
622 |
577 |
$26K |
| 76801 |
|
404 |
391 |
$22K |
| 99381 |
|
88 |
77 |
$17K |
| 3074F |
|
1,641 |
1,504 |
$16K |
| 76830 |
Ultrasound, transvaginal |
254 |
248 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
464 |
450 |
$12K |
| 90461 |
|
3,899 |
3,821 |
$11K |
| 92551 |
|
2,866 |
2,736 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
781 |
766 |
$7K |
| 85018 |
|
3,934 |
3,806 |
$6K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
149 |
75 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
815 |
799 |
$4K |
| 90677 |
|
288 |
285 |
$4K |
| 0071A |
|
98 |
98 |
$4K |
| 99188 |
|
38 |
38 |
$3K |
| 0072A |
|
73 |
73 |
$3K |
| 76818 |
|
56 |
29 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$3K |
| 99177 |
|
1,364 |
1,350 |
$3K |
| 81025 |
|
1,258 |
1,209 |
$3K |
| 59430 |
|
12 |
12 |
$2K |
| 99384 |
|
13 |
13 |
$2K |
| 90715 |
|
220 |
214 |
$2K |
| 0011A |
|
63 |
62 |
$2K |
| 0012A |
|
49 |
49 |
$2K |
| 99441 |
|
130 |
118 |
$2K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
56 |
55 |
$1K |
| 90686 |
|
2,813 |
2,759 |
$985.35 |
| 59025 |
Fetal non-stress test |
68 |
55 |
$975.93 |
| 81003 |
|
1,028 |
960 |
$883.55 |
| 83655 |
|
172 |
172 |
$711.46 |
| 0001A |
|
14 |
14 |
$480.00 |
| 99443 |
|
21 |
15 |
$369.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
89 |
$269.96 |
| 1159F |
|
195 |
173 |
$238.56 |
| 87210 |
|
156 |
149 |
$230.98 |
| 90620 |
|
12 |
12 |
$162.98 |
| 90670 |
|
1,238 |
1,230 |
$55.55 |
| 94760 |
|
500 |
475 |
$54.66 |
| 90656 |
|
45 |
45 |
$19.68 |
| 3078F |
|
1,434 |
1,315 |
$8.25 |
| 90647 |
|
521 |
519 |
$0.30 |
| 90723 |
|
503 |
500 |
$0.23 |
| 90633 |
|
961 |
952 |
$0.18 |
| 90651 |
|
278 |
268 |
$0.07 |
| 90681 |
|
83 |
82 |
$0.05 |
| 1160F |
|
1,082 |
997 |
$0.04 |
| 90734 |
|
309 |
304 |
$0.03 |
| 99173 |
|
387 |
385 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 3725F |
|
133 |
131 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 3008F |
|
1,520 |
1,387 |
$0.00 |
| 1036F |
|
738 |
656 |
$0.00 |
| 36416 |
|
98 |
98 |
$0.00 |
| 3075F |
|
26 |
25 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |