| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
83,529 |
80,415 |
$8.33M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55,473 |
53,671 |
$8.17M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18,139 |
17,375 |
$2.14M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,059 |
15,050 |
$1.90M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14,030 |
14,029 |
$1.75M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
10,104 |
10,102 |
$1.38M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
28,680 |
28,080 |
$1.32M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
50,209 |
50,125 |
$1.11M |
| 99051 |
|
42,665 |
41,961 |
$700K |
| 36416 |
|
40,609 |
40,369 |
$362K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18,598 |
9,753 |
$279K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
5,399 |
5,325 |
$155K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
40,630 |
40,426 |
$132K |
| 96127 |
|
21,345 |
16,845 |
$97K |
| 92551 |
|
33,844 |
33,839 |
$89K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,249 |
1,242 |
$76K |
| 99215 |
Prolong outpt/office vis |
337 |
334 |
$71K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,349 |
6,334 |
$64K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14,192 |
13,994 |
$58K |
| 90461 |
|
5,083 |
5,072 |
$57K |
| 87081 |
|
10,485 |
10,355 |
$53K |
| 83655 |
|
3,828 |
3,822 |
$51K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
928 |
927 |
$41K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
319 |
319 |
$41K |
| 82465 |
|
4,937 |
4,935 |
$23K |
| 0072A |
|
502 |
502 |
$22K |
| 0071A |
|
496 |
495 |
$22K |
| 99177 |
|
6,110 |
6,102 |
$21K |
| 99381 |
|
160 |
160 |
$19K |
| 0002A |
|
350 |
350 |
$15K |
| 99460 |
|
134 |
134 |
$14K |
| 0001A |
|
323 |
323 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
145 |
145 |
$12K |
| 90686 |
|
7,450 |
7,403 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
780 |
753 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
2,382 |
2,353 |
$9K |
| 90697 |
|
457 |
457 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
701 |
649 |
$7K |
| 90480 |
|
176 |
176 |
$6K |
| 69210 |
|
52 |
52 |
$3K |
| 0053A |
|
48 |
48 |
$2K |
| 81002 |
|
735 |
699 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
100 |
100 |
$1K |
| 99462 |
|
26 |
25 |
$1K |
| 0124A |
|
29 |
29 |
$1K |
| 0081A |
|
27 |
27 |
$1K |
| 0074A |
|
24 |
24 |
$1K |
| 0082A |
|
17 |
17 |
$803.66 |
| 0003A |
|
16 |
16 |
$640.00 |
| 0154A |
|
15 |
15 |
$600.00 |
| 87420 |
|
53 |
53 |
$429.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
30 |
$355.35 |
| 90651 |
|
40 |
40 |
$197.93 |
| 90656 |
|
500 |
500 |
$194.12 |
| 99188 |
|
12 |
12 |
$191.90 |
| 94760 |
|
50,998 |
48,731 |
$187.40 |
| 86308 |
|
38 |
38 |
$181.64 |
| 86580 |
|
13 |
12 |
$147.55 |
| 94664 |
|
36 |
36 |
$138.77 |
| 90473 |
|
16 |
16 |
$120.00 |
| 90723 |
|
425 |
421 |
$75.32 |
| 90648 |
|
896 |
889 |
$75.01 |
| 99173 |
|
35,173 |
35,139 |
$52.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
11,756 |
11,610 |
$29.00 |
| 82948 |
|
14 |
14 |
$28.28 |
| 90670 |
|
1,027 |
1,021 |
$25.11 |
| 90734 |
|
27 |
26 |
$25.10 |
| 90633 |
|
167 |
167 |
$24.00 |
| 91300 |
|
1,443 |
1,399 |
$0.00 |
| 90700 |
|
67 |
67 |
$0.00 |
| 91308 |
|
51 |
50 |
$0.00 |
| 3078F |
|
32 |
31 |
$0.00 |
| 90707 |
|
78 |
78 |
$0.00 |
| 91312 |
|
13 |
13 |
$0.00 |
| 91320 |
|
17 |
17 |
$0.00 |
| 99000 |
|
41,758 |
40,751 |
$0.00 |
| 91307 |
|
1,617 |
1,594 |
$0.00 |
| 90716 |
|
92 |
92 |
$0.00 |
| 90680 |
|
340 |
336 |
$0.00 |
| 3008F |
|
2,307 |
2,307 |
$0.00 |
| 91318 |
|
18 |
18 |
$0.00 |
| 94761 |
|
127 |
120 |
$0.00 |
| 91305 |
|
114 |
113 |
$0.00 |
| 3074F |
|
29 |
28 |
$0.00 |
| 90677 |
|
45 |
45 |
$0.00 |
| 91319 |
|
14 |
14 |
$0.00 |
| 91315 |
|
13 |
13 |
$0.00 |