| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,291 |
26,698 |
$1.71M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,971 |
8,476 |
$784K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,015 |
6,561 |
$592K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,981 |
4,950 |
$451K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,923 |
14,657 |
$430K |
| 87428 |
|
4,810 |
4,616 |
$269K |
| 90461 |
|
5,510 |
5,406 |
$104K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
784 |
757 |
$92K |
| 99460 |
|
1,222 |
1,159 |
$90K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,480 |
1,414 |
$87K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
914 |
911 |
$85K |
| G9153 |
Mapcp demonstration - physician incentive pool |
1,029 |
1,022 |
$59K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,386 |
3,288 |
$41K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,995 |
1,475 |
$38K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
759 |
731 |
$38K |
| 99462 |
|
635 |
540 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
159 |
159 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
102 |
101 |
$8K |
| 99383 |
|
39 |
38 |
$4K |
| 87807 |
|
406 |
390 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
356 |
323 |
$2K |
| 99381 |
|
27 |
26 |
$2K |
| 96127 |
|
265 |
235 |
$2K |
| 99384 |
|
13 |
13 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$2K |
| 54150 |
|
24 |
24 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
302 |
215 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
32 |
$1K |
| 85018 |
|
364 |
360 |
$794.67 |
| 90671 |
|
362 |
359 |
$769.91 |
| 96161 |
|
94 |
84 |
$643.06 |
| 93000 |
|
38 |
38 |
$577.44 |
| 96160 |
|
52 |
51 |
$276.76 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
74 |
61 |
$149.27 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$105.35 |
| 92551 |
|
25 |
25 |
$91.32 |
| 81002 |
|
34 |
34 |
$85.42 |
| 81003 |
|
22 |
18 |
$57.57 |
| 94760 |
|
30 |
27 |
$26.42 |
| 90677 |
|
341 |
338 |
$0.39 |
| 90656 |
|
66 |
66 |
$0.27 |
| 90686 |
|
2,118 |
2,098 |
$0.18 |
| 90723 |
|
1,344 |
1,326 |
$0.16 |
| 90648 |
|
1,390 |
1,365 |
$0.16 |
| 90680 |
|
1,066 |
1,051 |
$0.15 |
| 90715 |
|
33 |
31 |
$0.02 |
| 90651 |
|
24 |
24 |
$0.01 |
| 90670 |
|
1,891 |
1,851 |
$0.01 |
| 90744 |
|
38 |
38 |
$0.00 |
| 90698 |
|
205 |
202 |
$0.00 |
| 90716 |
|
26 |
26 |
$0.00 |
| 90633 |
|
331 |
329 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90734 |
|
72 |
70 |
$0.00 |
| 90707 |
|
38 |
38 |
$0.00 |