| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,894 |
8,098 |
$457K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,556 |
3,080 |
$233K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,198 |
1,950 |
$135K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,128 |
1,866 |
$117K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,806 |
1,656 |
$113K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,789 |
2,520 |
$76K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,197 |
4,545 |
$65K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,425 |
3,094 |
$55K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,567 |
1,293 |
$33K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
941 |
813 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
414 |
374 |
$28K |
| 92551 |
|
3,201 |
2,869 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
301 |
283 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,164 |
1,029 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,933 |
4,605 |
$13K |
| 85018 |
|
6,494 |
4,975 |
$12K |
| 90474 |
|
963 |
872 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,397 |
1,059 |
$7K |
| 99173 |
|
3,220 |
2,899 |
$6K |
| 99381 |
|
110 |
93 |
$6K |
| 81002 |
|
1,972 |
1,658 |
$4K |
| 96156 |
|
103 |
78 |
$2K |
| 99215 |
Prolong outpt/office vis |
27 |
16 |
$713.44 |
| 87807 |
|
62 |
50 |
$668.10 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
21 |
15 |
$461.97 |
| 94760 |
|
2,496 |
2,029 |
$458.10 |
| 69210 |
|
13 |
13 |
$321.53 |
| 96160 |
|
154 |
145 |
$206.25 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
15 |
$167.99 |
| 90671 |
|
469 |
416 |
$127.85 |
| 96127 |
|
521 |
359 |
$54.41 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
12 |
$23.37 |
| 90670 |
|
1,574 |
1,319 |
$11.26 |
| 90697 |
|
484 |
396 |
$11.25 |
| 90473 |
|
33 |
14 |
$10.43 |
| 36416 |
|
107 |
50 |
$2.53 |
| 90633 |
|
761 |
670 |
$1.10 |
| 90686 |
|
597 |
541 |
$1.00 |
| 99051 |
|
69 |
58 |
$0.02 |
| 90648 |
|
899 |
816 |
$0.01 |
| 90715 |
|
44 |
41 |
$0.00 |
| 90380 |
|
17 |
12 |
$0.00 |
| 3078F |
|
1,390 |
1,222 |
$0.00 |
| 90658 |
|
219 |
197 |
$0.00 |
| 90734 |
|
56 |
51 |
$0.00 |
| 90707 |
|
54 |
45 |
$0.00 |
| 90649 |
|
107 |
97 |
$0.00 |
| 90700 |
|
40 |
38 |
$0.00 |
| 90710 |
|
91 |
75 |
$0.00 |
| 90668 |
|
15 |
15 |
$0.00 |
| 3074F |
|
1,574 |
1,379 |
$0.00 |
| 90680 |
|
1,068 |
903 |
$0.00 |
| 90381 |
|
14 |
12 |
$0.00 |
| 90723 |
|
792 |
717 |
$0.00 |
| 99000 |
|
942 |
780 |
$0.00 |
| 96151 |
|
148 |
118 |
$0.00 |
| 90696 |
|
40 |
39 |
$0.00 |
| 96150 |
|
114 |
93 |
$0.00 |
| 90688 |
|
39 |
36 |
$0.00 |
| 90716 |
|
52 |
43 |
$0.00 |
| 97802 |
|
106 |
69 |
$0.00 |
| 90698 |
|
27 |
24 |
$0.00 |
| 90657 |
|
20 |
17 |
$0.00 |