| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
149,175 |
128,742 |
$10.69M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,078 |
24,846 |
$2.83M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
50,407 |
49,369 |
$2.50M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
22,267 |
20,699 |
$2.20M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18,879 |
18,621 |
$2.01M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,944 |
9,796 |
$1.09M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,249 |
5,179 |
$629K |
| 87428 |
|
8,076 |
7,833 |
$516K |
| 90461 |
|
16,947 |
16,593 |
$429K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,914 |
8,384 |
$263K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,398 |
12,029 |
$174K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,142 |
3,073 |
$168K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
958 |
921 |
$105K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,607 |
11,354 |
$102K |
| 85018 |
|
33,380 |
32,804 |
$81K |
| 87430 |
|
4,246 |
4,047 |
$66K |
| 99051 |
|
4,607 |
4,504 |
$62K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
903 |
875 |
$56K |
| 83655 |
|
4,332 |
4,301 |
$56K |
| 81002 |
|
17,787 |
17,368 |
$55K |
| 92551 |
|
21,561 |
21,212 |
$50K |
| 99223 |
Prolong inpt eval add15 m |
262 |
253 |
$44K |
| 81000 |
|
7,668 |
7,302 |
$32K |
| 87807 |
|
2,559 |
2,459 |
$30K |
| 96160 |
|
3,341 |
3,279 |
$29K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,273 |
2,078 |
$28K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
220 |
119 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,928 |
2,302 |
$12K |
| 99177 |
|
1,992 |
1,971 |
$9K |
| 99070 |
|
1,015 |
987 |
$7K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,638 |
2,055 |
$5K |
| G9153 |
Mapcp demonstration - physician incentive pool |
57 |
57 |
$4K |
| 99050 |
|
233 |
225 |
$3K |
| 82247 |
|
562 |
313 |
$3K |
| 96161 |
|
725 |
701 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
316 |
315 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
27 |
$2K |
| 90686 |
|
7,187 |
7,055 |
$1K |
| 99460 |
|
14 |
14 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
26 |
$1K |
| 90677 |
|
2,194 |
2,133 |
$684.57 |
| 94760 |
|
2,102 |
1,816 |
$615.73 |
| 90651 |
|
1,685 |
1,669 |
$595.30 |
| 90670 |
|
11,708 |
11,484 |
$570.82 |
| 90620 |
|
110 |
109 |
$498.95 |
| 86308 |
|
66 |
62 |
$470.01 |
| 99462 |
|
16 |
14 |
$453.50 |
| 90698 |
|
10,351 |
10,122 |
$353.83 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34 |
28 |
$285.38 |
| 90715 |
|
411 |
407 |
$165.69 |
| 90734 |
|
479 |
477 |
$151.45 |
| 90744 |
|
5,739 |
5,647 |
$122.00 |
| 90633 |
|
6,668 |
6,615 |
$116.49 |
| 86580 |
|
16 |
12 |
$112.53 |
| 90680 |
|
9,038 |
8,840 |
$95.24 |
| 90700 |
|
4,592 |
4,503 |
$37.74 |
| 90685 |
|
837 |
815 |
$23.29 |
| 90656 |
|
258 |
256 |
$19.29 |
| 90710 |
|
1,010 |
971 |
$0.00 |
| 90707 |
|
309 |
308 |
$0.00 |
| 99173 |
|
112 |
105 |
$0.00 |
| 90713 |
|
558 |
540 |
$0.00 |
| 90648 |
|
412 |
408 |
$0.00 |
| 36416 |
|
2,833 |
2,431 |
$0.00 |
| 90716 |
|
308 |
307 |
$0.00 |
| 90619 |
|
350 |
345 |
$0.00 |