| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,279 |
41,366 |
$1.91M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,476 |
9,304 |
$792K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,321 |
10,131 |
$673K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,788 |
7,474 |
$666K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,605 |
7,439 |
$622K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,906 |
15,342 |
$490K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,069 |
5,281 |
$429K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22,244 |
19,829 |
$170K |
| 99381 |
|
1,219 |
1,109 |
$86K |
| 92552 |
|
5,764 |
4,495 |
$71K |
| 90697 |
|
940 |
761 |
$69K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,356 |
3,351 |
$38K |
| 90671 |
|
628 |
441 |
$36K |
| H0049 |
Alcohol and/or drug screening |
2,558 |
2,066 |
$34K |
| 90670 |
|
2,442 |
2,329 |
$29K |
| 90619 |
|
657 |
450 |
$26K |
| 99383 |
|
316 |
271 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
228 |
193 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,502 |
4,048 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,827 |
1,633 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,461 |
1,252 |
$9K |
| 99215 |
Prolong outpt/office vis |
55 |
54 |
$6K |
| 99384 |
|
112 |
74 |
$6K |
| 96160 |
|
8,076 |
5,823 |
$4K |
| 90715 |
|
538 |
472 |
$4K |
| 0072A |
|
97 |
74 |
$3K |
| 0071A |
|
105 |
83 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
24 |
$2K |
| 90686 |
|
2,391 |
2,305 |
$2K |
| 0001A |
|
88 |
88 |
$2K |
| 99188 |
|
336 |
308 |
$2K |
| 0002A |
|
43 |
43 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
147 |
141 |
$1K |
| 81003 |
|
1,982 |
1,679 |
$1K |
| 90710 |
|
828 |
699 |
$1K |
| 99382 |
|
14 |
13 |
$930.93 |
| 90698 |
|
1,391 |
1,335 |
$699.32 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$675.06 |
| 90677 |
|
127 |
103 |
$564.73 |
| 90633 |
|
1,979 |
1,795 |
$530.83 |
| 96161 |
|
758 |
508 |
$423.41 |
| 90680 |
|
1,973 |
1,764 |
$404.38 |
| 87807 |
|
54 |
40 |
$403.38 |
| 90620 |
|
630 |
577 |
$403.02 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
48 |
45 |
$283.39 |
| 90461 |
|
55 |
33 |
$240.00 |
| 96380 |
|
12 |
12 |
$225.28 |
| 99174 |
|
4,698 |
2,897 |
$132.94 |
| 90744 |
|
864 |
846 |
$120.00 |
| 90651 |
|
1,724 |
1,498 |
$100.00 |
| 81025 |
|
41 |
37 |
$99.94 |
| 96127 |
|
1,524 |
959 |
$94.09 |
| 83655 |
|
44 |
44 |
$76.50 |
| 82247 |
|
41 |
30 |
$68.88 |
| 90700 |
|
451 |
405 |
$30.41 |
| 99173 |
|
2,757 |
2,343 |
$18.24 |
| 90648 |
|
311 |
261 |
$13.15 |
| 90696 |
|
443 |
367 |
$10.00 |
| 90734 |
|
764 |
756 |
$0.00 |
| 90707 |
|
222 |
196 |
$0.00 |
| 91300 |
|
57 |
52 |
$0.00 |
| 90685 |
|
15 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 90716 |
|
258 |
234 |
$0.00 |
| 91307 |
|
145 |
81 |
$0.00 |
| 36416 |
|
60 |
52 |
$0.00 |