| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107,565 |
97,759 |
$6.90M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90,861 |
81,923 |
$3.72M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,095 |
29,258 |
$2.82M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12,207 |
11,971 |
$1.14M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13,038 |
12,683 |
$1.10M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
39,412 |
38,455 |
$721K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,066 |
7,950 |
$697K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,280 |
5,165 |
$411K |
| 92551 |
|
25,823 |
25,273 |
$263K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22,319 |
21,622 |
$248K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17,506 |
17,142 |
$142K |
| 90461 |
|
8,946 |
8,740 |
$141K |
| 36415 |
Collection of venous blood by venipuncture |
53,327 |
51,711 |
$140K |
| 92552 |
|
5,797 |
5,791 |
$138K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,388 |
1,347 |
$127K |
| 99188 |
|
5,351 |
5,284 |
$102K |
| 96127 |
|
19,106 |
18,775 |
$92K |
| 99441 |
|
1,878 |
1,831 |
$84K |
| 90651 |
|
1,994 |
1,968 |
$81K |
| 90620 |
|
1,717 |
1,683 |
$78K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
249 |
249 |
$77K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
9,000 |
8,981 |
$71K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,175 |
2,170 |
$54K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,901 |
3,857 |
$54K |
| 95930 |
|
742 |
738 |
$44K |
| 90686 |
|
11,959 |
11,884 |
$41K |
| 90734 |
|
1,812 |
1,792 |
$38K |
| 99173 |
|
26,905 |
26,226 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,823 |
1,753 |
$33K |
| 90670 |
|
2,678 |
2,656 |
$27K |
| 3008F |
|
75,724 |
69,326 |
$26K |
| 96160 |
|
12,862 |
12,560 |
$26K |
| 94010 |
|
770 |
767 |
$22K |
| 81002 |
|
32,497 |
31,703 |
$21K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,367 |
1,234 |
$21K |
| 81025 |
|
3,798 |
3,654 |
$20K |
| 96161 |
|
7,904 |
7,738 |
$20K |
| 0001A |
|
417 |
417 |
$16K |
| 0002A |
|
347 |
347 |
$14K |
| 0072A |
|
339 |
335 |
$13K |
| 97802 |
|
16,539 |
15,938 |
$12K |
| 0071A |
|
291 |
290 |
$12K |
| 99381 |
|
156 |
154 |
$11K |
| 92587 |
|
592 |
588 |
$10K |
| 86580 |
|
1,572 |
1,541 |
$10K |
| 85018 |
|
5,716 |
5,592 |
$10K |
| 90723 |
|
1,064 |
1,058 |
$7K |
| 99442 |
|
86 |
85 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
258 |
258 |
$5K |
| 90688 |
|
571 |
571 |
$5K |
| 94760 |
|
11,133 |
9,394 |
$5K |
| 90633 |
|
1,567 |
1,538 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
52 |
$5K |
| 90715 |
|
567 |
561 |
$4K |
| 81001 |
|
4,131 |
4,082 |
$4K |
| 83655 |
|
707 |
706 |
$3K |
| 36406 |
|
199 |
196 |
$3K |
| 36416 |
|
4,053 |
3,827 |
$3K |
| 90710 |
|
184 |
184 |
$3K |
| 90716 |
|
211 |
210 |
$3K |
| 90661 |
|
749 |
738 |
$2K |
| 90685 |
|
267 |
265 |
$2K |
| 90680 |
|
882 |
874 |
$1K |
| 69210 |
|
28 |
28 |
$945.88 |
| 90707 |
|
119 |
118 |
$937.59 |
| 90648 |
|
1,959 |
1,935 |
$931.73 |
| 90474 |
|
72 |
71 |
$736.62 |
| 90696 |
|
139 |
139 |
$718.72 |
| 92558 |
|
76 |
76 |
$665.44 |
| 90677 |
|
238 |
220 |
$243.00 |
| 94664 |
|
14 |
12 |
$179.50 |
| 90658 |
|
70 |
70 |
$81.60 |
| 90700 |
|
30 |
30 |
$56.93 |
| 90744 |
|
32 |
27 |
$51.71 |
| 91307 |
|
730 |
697 |
$19.00 |
| 91300 |
|
813 |
772 |
$19.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
790 |
768 |
$0.00 |
| 90698 |
|
54 |
53 |
$0.00 |
| 87807 |
|
16 |
16 |
$0.00 |
| 90687 |
|
38 |
38 |
$0.00 |