| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,188 |
9,455 |
$494K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,557 |
3,088 |
$232K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,772 |
2,591 |
$186K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,023 |
2,565 |
$173K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,463 |
3,965 |
$121K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,726 |
4,958 |
$72K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
567 |
512 |
$67K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,337 |
3,906 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
480 |
449 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,000 |
1,624 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
308 |
237 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,240 |
1,090 |
$12K |
| 90473 |
|
1,215 |
1,021 |
$11K |
| 92551 |
|
954 |
904 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
514 |
412 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
53 |
$4K |
| 96161 |
|
709 |
506 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
31 |
$3K |
| 99173 |
|
1,787 |
1,631 |
$3K |
| 87807 |
|
182 |
149 |
$2K |
| 99188 |
|
117 |
93 |
$2K |
| 99383 |
|
12 |
12 |
$914.33 |
| 85018 |
|
442 |
373 |
$893.74 |
| 0072A |
|
20 |
17 |
$735.66 |
| 0071A |
|
17 |
13 |
$562.93 |
| 90474 |
|
57 |
48 |
$431.17 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
18 |
$197.30 |
| 90670 |
|
1,386 |
1,263 |
$101.47 |
| 99177 |
|
66 |
49 |
$76.50 |
| 90686 |
|
1,795 |
1,593 |
$19.03 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
23 |
14 |
$16.02 |
| 90671 |
|
894 |
688 |
$0.08 |
| 90680 |
|
1,421 |
1,192 |
$0.03 |
| 90633 |
|
802 |
733 |
$0.01 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90710 |
|
340 |
315 |
$0.00 |
| 90697 |
|
1,057 |
894 |
$0.00 |
| 90744 |
|
66 |
58 |
$0.00 |
| 90651 |
|
38 |
35 |
$0.00 |
| 90723 |
|
62 |
59 |
$0.00 |
| 90698 |
|
287 |
253 |
$0.00 |
| 90656 |
|
215 |
197 |
$0.00 |
| 91307 |
|
42 |
31 |
$0.00 |
| 90647 |
|
227 |
206 |
$0.00 |
| 90619 |
|
17 |
15 |
$0.00 |
| 94760 |
|
23 |
13 |
$0.00 |