| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,427 |
32,883 |
$2.68M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,262 |
7,947 |
$825K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,396 |
4,361 |
$391K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,757 |
3,753 |
$334K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,323 |
3,228 |
$278K |
| 92587 |
|
9,208 |
9,207 |
$260K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,198 |
2,186 |
$212K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,999 |
14,378 |
$126K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,625 |
2,358 |
$54K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,442 |
11,026 |
$36K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,407 |
1,395 |
$35K |
| 85018 |
|
7,990 |
7,980 |
$12K |
| 96160 |
|
6,065 |
6,016 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,328 |
7,247 |
$6K |
| 92015 |
Determination of refractive state |
1,375 |
1,375 |
$6K |
| 92552 |
|
223 |
223 |
$4K |
| 96161 |
|
1,071 |
1,065 |
$2K |
| 87070 |
|
378 |
369 |
$2K |
| 99188 |
|
192 |
192 |
$2K |
| 87184 |
|
380 |
371 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
34 |
$1K |
| 92567 |
|
125 |
121 |
$1K |
| 99173 |
|
6,229 |
6,225 |
$571.35 |
| 88738 |
|
245 |
245 |
$517.81 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
1,819 |
1,732 |
$498.99 |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
222 |
222 |
$455.00 |
| A4215 |
Needle, sterile, any size, each |
1,816 |
1,730 |
$413.55 |
| 90686 |
|
2,997 |
2,995 |
$276.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
35 |
$192.85 |
| 90461 |
|
442 |
440 |
$66.38 |
| 99401 |
|
198 |
191 |
$60.00 |
| 90633 |
|
1,592 |
1,592 |
$28.41 |
| 90744 |
|
245 |
245 |
$28.31 |
| 90697 |
|
310 |
310 |
$0.00 |
| 90698 |
|
485 |
485 |
$0.00 |
| 90656 |
|
103 |
103 |
$0.00 |
| 90716 |
|
70 |
70 |
$0.00 |
| 90619 |
|
367 |
366 |
$0.00 |
| 90651 |
|
52 |
52 |
$0.00 |
| 36416 |
|
79 |
78 |
$0.00 |
| 90674 |
|
123 |
123 |
$0.00 |
| 90696 |
|
42 |
42 |
$0.00 |
| 90677 |
|
30 |
30 |
$0.00 |
| 90688 |
|
27 |
27 |
$0.00 |
| 90713 |
|
162 |
162 |
$0.00 |
| 90670 |
|
1,522 |
1,521 |
$0.00 |
| 90681 |
|
118 |
118 |
$0.00 |
| 90715 |
|
211 |
211 |
$0.00 |
| 90710 |
|
759 |
759 |
$0.00 |
| 90685 |
|
24 |
24 |
$0.00 |
| 90671 |
|
300 |
300 |
$0.00 |
| 99080 |
|
220 |
220 |
$0.00 |
| 90700 |
|
37 |
37 |
$0.00 |
| 90734 |
|
135 |
135 |
$0.00 |
| 90661 |
|
73 |
73 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |