| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,805 |
11,469 |
$603K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,064 |
2,780 |
$213K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,561 |
7,350 |
$142K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,175 |
2,144 |
$136K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,992 |
1,954 |
$123K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,508 |
1,488 |
$96K |
| 92587 |
|
3,807 |
3,772 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,161 |
1,138 |
$66K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,556 |
5,221 |
$57K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,094 |
1,709 |
$32K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
713 |
682 |
$25K |
| 90461 |
|
1,697 |
1,682 |
$24K |
| 90671 |
|
106 |
105 |
$18K |
| 90686 |
|
2,773 |
2,708 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,313 |
1,221 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,228 |
606 |
$11K |
| 92550 |
|
771 |
723 |
$9K |
| 90619 |
|
95 |
94 |
$9K |
| 99173 |
|
3,978 |
3,913 |
$6K |
| 90651 |
|
97 |
95 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
341 |
318 |
$6K |
| 99174 |
|
2,960 |
2,900 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
441 |
413 |
$5K |
| 87081 |
|
1,038 |
992 |
$4K |
| 92558 |
|
1,097 |
1,069 |
$3K |
| 90716 |
|
86 |
82 |
$3K |
| 3008F |
|
4,402 |
4,310 |
$3K |
| 90670 |
|
290 |
276 |
$3K |
| 87070 |
|
383 |
365 |
$2K |
| 90734 |
|
86 |
82 |
$2K |
| 81003 |
|
3,692 |
3,617 |
$2K |
| 90707 |
|
80 |
78 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$697.22 |
| 96127 |
|
223 |
222 |
$693.85 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
68 |
63 |
$660.47 |
| 90715 |
|
45 |
44 |
$574.58 |
| 90685 |
|
58 |
58 |
$566.66 |
| 94760 |
|
2,159 |
2,008 |
$552.05 |
| 90633 |
|
83 |
80 |
$512.21 |
| 81001 |
|
308 |
299 |
$375.82 |
| 90698 |
|
95 |
89 |
$286.82 |
| 99188 |
|
13 |
13 |
$225.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
542 |
513 |
$133.21 |
| 90680 |
|
16 |
15 |
$88.64 |
| 90744 |
|
27 |
26 |
$71.37 |
| 96161 |
|
82 |
80 |
$69.90 |
| 94761 |
|
241 |
230 |
$34.33 |
| 99000 |
|
127 |
120 |
$8.38 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
197 |
196 |
$0.00 |
| 99070 |
|
22 |
22 |
$0.00 |
| 99072 |
|
135 |
130 |
$0.00 |