| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,215 |
14,544 |
$615K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,259 |
6,189 |
$475K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,168 |
2,914 |
$158K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,921 |
2,619 |
$149K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,107 |
1,879 |
$108K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,877 |
2,323 |
$106K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,343 |
2,835 |
$70K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,512 |
4,777 |
$62K |
| 94760 |
|
4,994 |
3,971 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
923 |
813 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
491 |
465 |
$30K |
| 92587 |
|
547 |
498 |
$28K |
| 90670 |
|
1,636 |
1,592 |
$18K |
| 90686 |
|
1,347 |
1,259 |
$18K |
| 87807 |
|
1,594 |
1,316 |
$17K |
| 99173 |
|
3,012 |
2,646 |
$14K |
| 90680 |
|
1,271 |
1,206 |
$14K |
| 90648 |
|
663 |
625 |
$8K |
| 90723 |
|
677 |
632 |
$7K |
| V5008 |
Hearing screening |
2,862 |
2,501 |
$6K |
| 90698 |
|
473 |
440 |
$6K |
| 90633 |
|
492 |
472 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
122 |
101 |
$5K |
| 90677 |
|
327 |
281 |
$4K |
| 90716 |
|
302 |
298 |
$3K |
| 90707 |
|
300 |
296 |
$3K |
| 90674 |
|
190 |
180 |
$3K |
| 96127 |
|
1,180 |
1,021 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
35 |
32 |
$2K |
| 0071A |
|
31 |
23 |
$2K |
| 0072A |
|
25 |
19 |
$2K |
| 90661 |
|
217 |
118 |
$2K |
| 90685 |
|
157 |
149 |
$1K |
| 99406 |
|
70 |
62 |
$1K |
| 90688 |
|
134 |
131 |
$1K |
| 90651 |
|
97 |
92 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
553 |
485 |
$1K |
| 83655 |
|
40 |
40 |
$639.36 |
| 90672 |
|
69 |
63 |
$620.90 |
| 92567 |
|
28 |
28 |
$445.50 |
| 85018 |
|
77 |
74 |
$231.80 |
| 90734 |
|
14 |
14 |
$133.84 |
| 81002 |
|
33 |
31 |
$104.01 |
| 91307 |
|
86 |
61 |
$0.58 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18 |
13 |
$0.00 |