| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,602 |
32,107 |
$3.48M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,592 |
5,128 |
$1.38M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,978 |
4,611 |
$1.22M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,648 |
5,828 |
$1.15M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,478 |
4,151 |
$1.10M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,848 |
3,534 |
$925K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
4,857 |
4,552 |
$269K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
4,816 |
3,556 |
$259K |
| 99205 |
Prolong outpt/office vis |
690 |
630 |
$162K |
| 99401 |
|
4,571 |
4,270 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,357 |
1,261 |
$53K |
| 90686 |
|
6,549 |
5,860 |
$48K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,912 |
1,768 |
$46K |
| G9004 |
Coordinated care fee, risk adjusted low, initial |
982 |
929 |
$46K |
| S4993 |
Contraceptive pills for birth control |
3,579 |
3,013 |
$44K |
| 92551 |
|
9,593 |
8,737 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,652 |
3,399 |
$42K |
| 99173 |
|
10,273 |
9,434 |
$39K |
| T1017 |
Targeted case management, each 15 minutes |
822 |
672 |
$38K |
| 90670 |
|
3,894 |
3,619 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,806 |
1,935 |
$27K |
| 90651 |
|
2,076 |
1,923 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
256 |
224 |
$22K |
| 81025 |
|
7,953 |
6,975 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,758 |
1,628 |
$19K |
| 99402 |
|
1,557 |
1,418 |
$17K |
| 90698 |
|
2,148 |
1,955 |
$15K |
| 90633 |
|
1,761 |
1,630 |
$13K |
| 90680 |
|
1,756 |
1,599 |
$13K |
| 36416 |
|
5,611 |
4,817 |
$12K |
| 90688 |
|
1,471 |
1,355 |
$11K |
| G9003 |
Coordinated care fee, risk adjusted high, initial |
197 |
181 |
$10K |
| 90697 |
|
1,385 |
1,290 |
$10K |
| 90744 |
|
1,272 |
1,164 |
$9K |
| 90671 |
|
1,272 |
1,164 |
$9K |
| 90734 |
|
1,220 |
1,119 |
$9K |
| 87210 |
|
1,555 |
1,401 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
672 |
539 |
$5K |
| 81003 |
|
1,748 |
1,597 |
$5K |
| 90715 |
|
633 |
560 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,148 |
1,950 |
$4K |
| 90681 |
|
446 |
434 |
$3K |
| 90619 |
|
353 |
330 |
$3K |
| 90710 |
|
344 |
317 |
$2K |
| 90696 |
|
311 |
289 |
$2K |
| 82947 |
|
589 |
436 |
$1K |
| 90707 |
|
124 |
111 |
$856.00 |
| 90716 |
|
121 |
109 |
$848.00 |
| 96127 |
|
2,356 |
2,151 |
$813.10 |
| 85018 |
|
1,833 |
1,619 |
$756.28 |
| 90700 |
|
95 |
79 |
$624.00 |
| 90381 |
|
51 |
49 |
$392.00 |
| 90380 |
|
35 |
33 |
$264.00 |
| 90648 |
|
27 |
27 |
$216.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
41 |
$188.91 |
| 91321 |
|
12 |
12 |
$96.00 |
| 87220 |
|
26 |
26 |
$0.00 |