| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,304 |
14,260 |
$973K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,695 |
8,052 |
$934K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,635 |
4,790 |
$496K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,118 |
4,194 |
$430K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,838 |
3,029 |
$347K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,968 |
3,067 |
$320K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,516 |
9,994 |
$149K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,348 |
5,074 |
$131K |
| 87428 |
|
1,575 |
1,444 |
$54K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,259 |
1,113 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,452 |
1,046 |
$39K |
| 92587 |
|
1,856 |
1,493 |
$25K |
| 96127 |
|
3,826 |
1,491 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,677 |
988 |
$9K |
| 90473 |
|
739 |
533 |
$8K |
| 99215 |
Prolong outpt/office vis |
45 |
39 |
$7K |
| 36416 |
|
2,230 |
1,778 |
$7K |
| 0001A |
|
291 |
195 |
$7K |
| 0072A |
|
255 |
165 |
$6K |
| 0071A |
|
273 |
162 |
$6K |
| 87807 |
|
514 |
472 |
$6K |
| 83655 |
|
495 |
390 |
$6K |
| 0002A |
|
235 |
162 |
$6K |
| 80061 |
Lipid panel |
389 |
324 |
$4K |
| 85018 |
|
1,600 |
1,272 |
$4K |
| 0003A |
|
122 |
87 |
$4K |
| 99381 |
|
37 |
24 |
$3K |
| 0073A |
|
92 |
71 |
$3K |
| 96160 |
|
1,572 |
688 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
191 |
120 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
154 |
131 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
105 |
105 |
$2K |
| 82947 |
|
389 |
324 |
$1K |
| 90670 |
|
1,641 |
1,409 |
$1K |
| 90480 |
|
33 |
30 |
$1K |
| 90651 |
|
625 |
481 |
$1K |
| 96161 |
|
678 |
447 |
$1K |
| 90686 |
|
4,404 |
3,312 |
$877.51 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
13 |
$678.27 |
| 90633 |
|
664 |
558 |
$595.72 |
| 90685 |
|
242 |
237 |
$509.30 |
| 90710 |
|
35 |
32 |
$507.82 |
| 0124A |
|
13 |
13 |
$506.35 |
| 0154A |
|
14 |
14 |
$506.35 |
| 90680 |
|
654 |
564 |
$291.71 |
| 90647 |
|
378 |
312 |
$288.86 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
152 |
131 |
$280.07 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
30 |
30 |
$273.92 |
| 90620 |
|
297 |
216 |
$263.26 |
| 90734 |
|
389 |
298 |
$218.82 |
| 90698 |
|
271 |
240 |
$183.49 |
| 81002 |
|
50 |
38 |
$183.40 |
| 99188 |
|
13 |
13 |
$139.64 |
| 90715 |
|
116 |
95 |
$118.93 |
| 90723 |
|
110 |
80 |
$75.17 |
| 99000 |
|
23 |
22 |
$73.02 |
| 94664 |
|
33 |
30 |
$60.30 |
| 82465 |
|
236 |
207 |
$52.20 |
| 99173 |
|
34 |
30 |
$26.07 |
| 90696 |
|
28 |
28 |
$15.25 |
| 90707 |
|
15 |
15 |
$15.13 |
| 90700 |
|
13 |
13 |
$15.09 |
| 91300 |
|
743 |
460 |
$0.00 |
| 83718 |
|
236 |
207 |
$0.00 |
| 90672 |
|
870 |
592 |
$0.00 |
| 99072 |
|
2,346 |
1,634 |
$0.00 |
| 91308 |
|
72 |
40 |
$0.00 |
| 91312 |
|
13 |
13 |
$0.00 |
| 84478 |
|
235 |
206 |
$0.00 |
| 90677 |
|
38 |
38 |
$0.00 |
| 90619 |
|
205 |
173 |
$0.00 |
| 91307 |
|
698 |
476 |
$0.00 |
| 90656 |
|
205 |
203 |
$0.00 |
| 90697 |
|
14 |
12 |
$0.00 |
| 90660 |
|
16 |
16 |
$0.00 |
| 91315 |
|
14 |
14 |
$0.00 |
| 90716 |
|
15 |
12 |
$0.00 |