| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,308 |
10,478 |
$774K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,690 |
7,200 |
$767K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,068 |
1,068 |
$100K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
559 |
559 |
$81K |
| 99406 |
|
3,865 |
3,479 |
$51K |
| 96127 |
|
10,982 |
9,895 |
$44K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,393 |
2,306 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
276 |
275 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,341 |
1,332 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,541 |
2,399 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
3,549 |
3,411 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
344 |
331 |
$15K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
169 |
168 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
149 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
644 |
539 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
378 |
377 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
78 |
78 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
296 |
291 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
55 |
$6K |
| 90686 |
|
634 |
630 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
97 |
94 |
$3K |
| 99173 |
|
707 |
701 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
52 |
52 |
$2K |
| 99384 |
|
12 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 87634 |
|
12 |
12 |
$792.84 |
| 81025 |
|
82 |
80 |
$610.31 |
| 99490 |
Ccm add 20min |
88 |
88 |
$343.38 |
| 99407 |
|
14 |
13 |
$325.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
30 |
30 |
$281.70 |
| 90674 |
|
14 |
14 |
$237.67 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$190.54 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
16 |
15 |
$83.20 |
| 96160 |
|
1,172 |
1,108 |
$71.32 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
48 |
47 |
$41.77 |
| 90734 |
|
44 |
44 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90651 |
|
56 |
56 |
$0.00 |