| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,026 |
28,787 |
$2.08M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,237 |
5,340 |
$498K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,099 |
4,356 |
$400K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,781 |
3,927 |
$376K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,639 |
2,815 |
$274K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,302 |
2,785 |
$262K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14,149 |
7,363 |
$176K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,522 |
11,784 |
$162K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,456 |
1,030 |
$50K |
| 99381 |
|
576 |
485 |
$44K |
| 81002 |
|
13,785 |
11,442 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,213 |
740 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,281 |
1,933 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
476 |
346 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
203 |
160 |
$14K |
| 99383 |
|
119 |
112 |
$11K |
| 99382 |
|
85 |
82 |
$8K |
| 96127 |
|
1,383 |
1,028 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
88 |
84 |
$4K |
| 99460 |
|
37 |
34 |
$2K |
| 87807 |
|
258 |
170 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
182 |
133 |
$2K |
| 90649 |
|
1,437 |
1,143 |
$2K |
| 90670 |
|
4,031 |
3,097 |
$2K |
| 90473 |
|
451 |
403 |
$1K |
| 99174 |
|
366 |
226 |
$1K |
| 90734 |
|
2,069 |
1,562 |
$1K |
| 86580 |
|
261 |
205 |
$1K |
| 90698 |
|
3,224 |
2,441 |
$967.29 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
87 |
56 |
$930.96 |
| 90620 |
|
1,611 |
1,170 |
$845.10 |
| 90715 |
|
988 |
762 |
$247.41 |
| 90680 |
|
2,426 |
1,728 |
$219.71 |
| 94760 |
|
164 |
94 |
$211.72 |
| 90710 |
|
833 |
691 |
$210.01 |
| 90633 |
|
2,421 |
1,929 |
$204.23 |
| 90744 |
|
1,997 |
1,513 |
$200.60 |
| 90696 |
|
1,012 |
814 |
$104.32 |
| 90688 |
|
3,142 |
2,368 |
$83.09 |
| 90707 |
|
790 |
626 |
$75.11 |
| 90648 |
|
316 |
258 |
$10.60 |
| 90687 |
|
107 |
75 |
$8.68 |
| 90619 |
|
192 |
111 |
$3.90 |
| 90716 |
|
747 |
579 |
$0.83 |
| 90700 |
|
366 |
267 |
$0.34 |
| 90658 |
|
37 |
32 |
$0.18 |
| 90697 |
|
127 |
91 |
$0.00 |
| 90651 |
|
69 |
62 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 90671 |
|
158 |
111 |
$0.00 |
| 90672 |
|
209 |
147 |
$0.00 |