| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,772 |
23,001 |
$1.50M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,964 |
3,540 |
$279K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,508 |
3,305 |
$259K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,782 |
1,706 |
$133K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,151 |
1,107 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
947 |
869 |
$78K |
| 92551 |
|
5,944 |
5,604 |
$55K |
| 90670 |
|
2,642 |
2,534 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,398 |
2,247 |
$29K |
| 90677 |
|
287 |
246 |
$29K |
| 90698 |
|
1,801 |
1,713 |
$29K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
926 |
876 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,352 |
1,138 |
$26K |
| 90686 |
|
2,211 |
2,132 |
$25K |
| 90651 |
|
746 |
704 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,836 |
10,028 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,309 |
1,242 |
$17K |
| 90680 |
|
951 |
904 |
$15K |
| 81002 |
|
4,337 |
4,061 |
$11K |
| 90633 |
|
934 |
881 |
$11K |
| 99173 |
|
4,649 |
4,382 |
$11K |
| 90461 |
|
6,015 |
5,587 |
$11K |
| 90734 |
|
431 |
413 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
252 |
232 |
$9K |
| 96127 |
|
1,655 |
1,567 |
$8K |
| 97802 |
|
1,286 |
1,232 |
$7K |
| 90744 |
|
516 |
505 |
$6K |
| 99381 |
|
78 |
73 |
$6K |
| 90710 |
|
279 |
266 |
$5K |
| 0002A |
|
119 |
116 |
$5K |
| 0071A |
|
111 |
106 |
$4K |
| 0001A |
|
103 |
100 |
$4K |
| 0072A |
|
81 |
79 |
$3K |
| 99177 |
|
788 |
759 |
$3K |
| 90696 |
|
182 |
172 |
$2K |
| 96160 |
|
1,132 |
1,072 |
$2K |
| 90715 |
|
135 |
132 |
$2K |
| 90621 |
|
74 |
72 |
$2K |
| 90619 |
|
74 |
72 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 94760 |
|
891 |
785 |
$847.12 |
| 90685 |
|
50 |
45 |
$520.86 |
| 90648 |
|
47 |
46 |
$499.96 |
| 90716 |
|
13 |
13 |
$420.18 |
| 97535 |
Self-care/home management training, each 15 minutes |
31 |
30 |
$337.30 |
| 0004A |
|
16 |
12 |
$328.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
677 |
642 |
$280.93 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
27 |
$221.94 |
| 90700 |
|
13 |
13 |
$159.95 |
| 90707 |
|
13 |
12 |
$121.55 |
| 99000 |
|
333 |
327 |
$106.90 |
| 99072 |
|
199 |
195 |
$0.00 |
| 90473 |
|
129 |
127 |
$0.00 |