| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,621 |
13,555 |
$625K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,933 |
12,314 |
$620K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,438 |
5,383 |
$413K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,118 |
4,959 |
$340K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,380 |
4,399 |
$339K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,974 |
3,007 |
$269K |
| 96160 |
|
10,308 |
6,745 |
$208K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,115 |
2,258 |
$71K |
| 96161 |
|
2,767 |
2,222 |
$43K |
| 85018 |
|
16,437 |
12,834 |
$36K |
| 81002 |
|
12,343 |
9,468 |
$29K |
| 99173 |
|
4,718 |
3,736 |
$25K |
| 92551 |
|
3,812 |
3,087 |
$24K |
| 96127 |
|
6,519 |
4,826 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
385 |
347 |
$23K |
| 36416 |
|
14,248 |
11,256 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,828 |
1,430 |
$16K |
| 99401 |
|
914 |
565 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
830 |
385 |
$10K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
131 |
118 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
323 |
223 |
$7K |
| 99383 |
|
174 |
100 |
$7K |
| 99460 |
|
142 |
128 |
$6K |
| 90651 |
|
1,693 |
1,309 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
388 |
233 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,258 |
1,668 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
335 |
305 |
$4K |
| 99174 |
|
339 |
292 |
$3K |
| 94010 |
|
127 |
113 |
$3K |
| 99382 |
|
146 |
67 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
175 |
120 |
$3K |
| 90734 |
|
802 |
580 |
$2K |
| 90686 |
|
4,144 |
3,450 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
113 |
65 |
$1K |
| 87430 |
|
120 |
115 |
$1K |
| 90620 |
|
409 |
332 |
$1K |
| 99381 |
|
36 |
22 |
$1K |
| 99384 |
|
62 |
32 |
$1K |
| 94664 |
|
68 |
64 |
$916.38 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
124 |
68 |
$913.85 |
| 90473 |
|
99 |
97 |
$889.90 |
| 90710 |
|
1,151 |
974 |
$864.89 |
| 87807 |
|
97 |
78 |
$819.08 |
| 87400 |
|
62 |
48 |
$668.60 |
| 90670 |
|
4,188 |
3,616 |
$546.00 |
| 94760 |
|
269 |
222 |
$530.75 |
| 90688 |
|
1,713 |
1,433 |
$457.36 |
| 90716 |
|
431 |
354 |
$344.34 |
| 90696 |
|
351 |
278 |
$343.14 |
| 90707 |
|
430 |
353 |
$190.00 |
| 90633 |
|
2,129 |
1,802 |
$173.97 |
| 90715 |
|
149 |
109 |
$163.20 |
| 81003 |
|
35 |
33 |
$84.78 |
| 90700 |
|
283 |
266 |
$30.00 |
| 90674 |
|
202 |
182 |
$25.00 |
| 90648 |
|
889 |
797 |
$14.70 |
| 99000 |
|
413 |
322 |
$2.16 |
| 90681 |
|
795 |
719 |
$0.00 |
| 90672 |
|
274 |
258 |
$0.00 |
| 83655 |
|
34 |
30 |
$0.00 |
| 90461 |
|
69 |
31 |
$0.00 |
| 90685 |
|
33 |
32 |
$0.00 |
| 90687 |
|
27 |
25 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
16 |
13 |
$0.00 |
| 90647 |
|
1,494 |
1,325 |
$0.00 |
| 90723 |
|
2,737 |
2,414 |
$0.00 |
| 90677 |
|
539 |
510 |
$0.00 |
| 90698 |
|
108 |
91 |
$0.00 |
| 90656 |
|
359 |
348 |
$0.00 |
| 90619 |
|
154 |
123 |
$0.00 |
| 90744 |
|
68 |
57 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
16 |
13 |
$0.00 |
| 90680 |
|
30 |
30 |
$0.00 |