| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,683 |
17,383 |
$1.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,199 |
3,891 |
$345K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,083 |
2,995 |
$232K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,606 |
2,521 |
$196K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,230 |
2,085 |
$154K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,511 |
1,463 |
$123K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,720 |
4,384 |
$61K |
| 90686 |
|
4,519 |
4,433 |
$54K |
| 90677 |
|
339 |
296 |
$48K |
| 90651 |
|
882 |
854 |
$47K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,473 |
1,676 |
$42K |
| 90670 |
|
1,597 |
1,560 |
$30K |
| 90716 |
|
899 |
864 |
$23K |
| 90734 |
|
615 |
597 |
$22K |
| 90723 |
|
901 |
851 |
$20K |
| 90620 |
|
300 |
297 |
$19K |
| 90707 |
|
868 |
833 |
$17K |
| 81003 |
|
6,946 |
6,643 |
$15K |
| 85014 |
|
6,074 |
5,877 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,245 |
8,818 |
$13K |
| 90648 |
|
1,278 |
1,214 |
$12K |
| 90700 |
|
924 |
892 |
$11K |
| 90633 |
|
843 |
826 |
$11K |
| 90681 |
|
593 |
572 |
$10K |
| 87428 |
|
357 |
288 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
229 |
224 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,486 |
4,233 |
$8K |
| 90698 |
|
538 |
520 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
909 |
818 |
$6K |
| 90744 |
|
332 |
312 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
363 |
334 |
$4K |
| 0072A |
|
77 |
77 |
$3K |
| 0071A |
|
74 |
74 |
$3K |
| 83655 |
|
249 |
245 |
$3K |
| 90713 |
|
202 |
184 |
$3K |
| 90715 |
|
138 |
136 |
$2K |
| 0001A |
|
59 |
59 |
$2K |
| 36416 |
|
7,239 |
6,883 |
$2K |
| 0002A |
|
40 |
40 |
$2K |
| 99188 |
|
85 |
82 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
157 |
136 |
$926.77 |
| 96161 |
|
305 |
259 |
$525.94 |
| 94760 |
|
171 |
152 |
$207.97 |
| 90473 |
|
355 |
342 |
$170.40 |
| 80305 |
|
15 |
14 |
$166.07 |
| 90474 |
|
28 |
28 |
$117.39 |
| 87899 |
|
13 |
12 |
$111.30 |
| 99080 |
|
31 |
31 |
$100.00 |
| 91300 |
|
159 |
143 |
$0.00 |
| 91307 |
|
170 |
159 |
$0.00 |