| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63,736 |
57,931 |
$2.53M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,695 |
11,472 |
$933K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
22,599 |
21,753 |
$927K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,441 |
10,303 |
$892K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,861 |
8,721 |
$697K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,032 |
5,756 |
$540K |
| 99429 |
|
11,227 |
11,046 |
$380K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,209 |
6,076 |
$341K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26,770 |
12,513 |
$254K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21,045 |
20,722 |
$239K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16,479 |
9,062 |
$232K |
| 99381 |
|
2,045 |
2,028 |
$171K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,270 |
6,051 |
$168K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17,573 |
13,079 |
$144K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,060 |
4,968 |
$71K |
| 99383 |
|
682 |
674 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
951 |
941 |
$63K |
| 90474 |
|
4,430 |
4,387 |
$42K |
| 99000 |
|
3,812 |
3,531 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,145 |
2,193 |
$37K |
| 99382 |
|
370 |
367 |
$34K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
483 |
474 |
$23K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,502 |
1,482 |
$19K |
| 94010 |
|
736 |
716 |
$18K |
| 99384 |
|
180 |
178 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,237 |
1,169 |
$16K |
| 96160 |
|
7,061 |
6,707 |
$14K |
| 0071A |
|
251 |
251 |
$10K |
| 0072A |
|
202 |
202 |
$9K |
| 97169 |
|
297 |
292 |
$8K |
| 90461 |
|
1,163 |
865 |
$7K |
| 0002A |
|
166 |
166 |
$7K |
| 0001A |
|
138 |
137 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
35 |
31 |
$3K |
| 81002 |
|
806 |
787 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
44 |
$528.26 |
| A4617 |
Mouth piece |
731 |
712 |
$378.15 |
| 90677 |
|
1,974 |
1,929 |
$253.93 |
| 90473 |
|
15 |
15 |
$206.40 |
| 96161 |
|
1,038 |
1,012 |
$52.20 |
| 90686 |
|
5,776 |
5,680 |
$19.27 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$6.54 |
| 90619 |
|
1,048 |
1,034 |
$0.05 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
25,371 |
24,397 |
$0.01 |
| 90680 |
|
4,899 |
4,837 |
$0.00 |
| 36416 |
|
4,531 |
4,448 |
$0.00 |
| 90723 |
|
5,532 |
5,466 |
$0.00 |
| 90647 |
|
4,794 |
4,730 |
$0.00 |
| 90696 |
|
1,054 |
1,047 |
$0.00 |
| 90716 |
|
1,353 |
1,344 |
$0.00 |
| 90651 |
|
2,168 |
2,127 |
$0.00 |
| 90620 |
|
877 |
864 |
$0.00 |
| 91307 |
|
498 |
470 |
$0.00 |
| 90656 |
|
980 |
978 |
$0.00 |
| G9432 |
Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented |
129 |
128 |
$0.00 |
| 90710 |
|
1,055 |
1,050 |
$0.00 |
| 90670 |
|
5,566 |
5,498 |
$0.00 |
| 90734 |
|
927 |
901 |
$0.00 |
| 90633 |
|
3,867 |
3,839 |
$0.00 |
| 90648 |
|
1,939 |
1,928 |
$0.00 |
| 90700 |
|
1,223 |
1,209 |
$0.00 |
| 90707 |
|
1,316 |
1,307 |
$0.00 |
| 90715 |
|
734 |
728 |
$0.00 |
| 91300 |
|
344 |
326 |
$0.00 |
| 99051 |
|
14 |
14 |
$0.00 |