| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,539 |
13,805 |
$668K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,869 |
5,409 |
$377K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,277 |
10,232 |
$303K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,699 |
4,545 |
$272K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,347 |
3,272 |
$191K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,565 |
3,436 |
$188K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,154 |
2,110 |
$138K |
| 92587 |
|
3,815 |
3,675 |
$66K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,225 |
5,887 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,453 |
3,280 |
$42K |
| 99177 |
|
3,127 |
3,021 |
$29K |
| 99381 |
|
345 |
331 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,125 |
1,102 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
627 |
601 |
$16K |
| 99051 |
|
824 |
807 |
$16K |
| 83655 |
|
1,441 |
1,399 |
$15K |
| 96127 |
|
2,529 |
2,233 |
$11K |
| 90633 |
|
1,442 |
1,402 |
$10K |
| 99188 |
|
512 |
493 |
$9K |
| 90670 |
|
2,426 |
2,375 |
$9K |
| 99215 |
Prolong outpt/office vis |
97 |
92 |
$9K |
| 81002 |
|
3,350 |
3,164 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
692 |
324 |
$8K |
| 36416 |
|
2,821 |
2,722 |
$8K |
| 94664 |
|
788 |
764 |
$7K |
| 92015 |
Determination of refractive state |
243 |
237 |
$5K |
| 94010 |
|
238 |
233 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
81 |
$5K |
| 85018 |
|
1,978 |
1,909 |
$4K |
| 90686 |
|
3,224 |
3,164 |
$3K |
| 90698 |
|
1,990 |
1,946 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
221 |
203 |
$2K |
| 90716 |
|
1,505 |
1,451 |
$2K |
| 99382 |
|
28 |
28 |
$2K |
| 90671 |
|
572 |
525 |
$1K |
| 90651 |
|
720 |
715 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
51 |
50 |
$967.56 |
| 90620 |
|
117 |
113 |
$898.80 |
| 90707 |
|
1,507 |
1,454 |
$866.87 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
18 |
$736.75 |
| 90685 |
|
285 |
277 |
$661.50 |
| 96380 |
|
37 |
35 |
$576.06 |
| 90661 |
|
212 |
204 |
$464.28 |
| 90744 |
|
1,113 |
1,081 |
$425.25 |
| 90734 |
|
338 |
337 |
$267.75 |
| 96161 |
|
80 |
77 |
$190.83 |
| 90700 |
|
107 |
104 |
$189.00 |
| 90680 |
|
2,136 |
2,077 |
$172.75 |
| 87807 |
|
14 |
14 |
$166.40 |
| 96160 |
|
58 |
58 |
$143.48 |
| 90715 |
|
99 |
98 |
$135.36 |
| 90697 |
|
611 |
577 |
$132.77 |
| 90461 |
|
5,678 |
5,422 |
$130.20 |
| 90648 |
|
82 |
81 |
$126.00 |
| S8301 |
Infection control supplies, not otherwise specified |
2,024 |
1,827 |
$120.40 |
| 99001 |
|
57 |
57 |
$28.00 |
| 99000 |
|
785 |
759 |
$0.00 |
| 90619 |
|
270 |
256 |
$0.00 |
| 90696 |
|
97 |
93 |
$0.00 |
| 94760 |
|
80 |
77 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 99072 |
|
486 |
463 |
$0.00 |
| 90380 |
|
12 |
12 |
$0.00 |