| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,086 |
11,326 |
$358K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,994 |
2,300 |
$171K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,803 |
4,781 |
$152K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,455 |
1,759 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,742 |
1,859 |
$99K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,505 |
1,094 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,247 |
980 |
$69K |
| H1000 |
Prenatal care, at-risk assessment |
609 |
489 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,403 |
5,705 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,101 |
3,060 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
717 |
709 |
$12K |
| 90670 |
|
508 |
285 |
$5K |
| 90671 |
|
77 |
59 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
186 |
159 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
936 |
699 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
23 |
$2K |
| 86403 |
|
652 |
447 |
$2K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
40 |
29 |
$2K |
| 99215 |
Prolong outpt/office vis |
127 |
35 |
$1K |
| 90620 |
|
67 |
67 |
$1K |
| 99383 |
|
13 |
12 |
$980.69 |
| 90686 |
|
1,367 |
1,299 |
$747.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
147 |
143 |
$718.15 |
| 0072A |
|
19 |
19 |
$616.00 |
| 99384 |
|
21 |
12 |
$589.53 |
| 0071A |
|
24 |
17 |
$531.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
193 |
86 |
$491.47 |
| 85018 |
|
417 |
298 |
$302.43 |
| 81002 |
|
288 |
261 |
$265.27 |
| 90734 |
|
123 |
50 |
$247.52 |
| 90633 |
|
987 |
793 |
$152.00 |
| 90461 |
|
96 |
94 |
$140.00 |
| 87807 |
|
50 |
46 |
$85.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
19 |
$80.00 |
| 90715 |
|
139 |
93 |
$36.00 |
| 96160 |
|
345 |
337 |
$26.34 |
| 90658 |
|
32 |
32 |
$20.00 |
| 90473 |
|
30 |
29 |
$10.00 |
| 90651 |
|
653 |
440 |
$10.00 |
| 90697 |
|
178 |
151 |
$6.00 |
| 92551 |
|
1,135 |
1,118 |
$0.59 |
| 99173 |
|
1,255 |
1,238 |
$0.38 |
| 3351F |
|
2,779 |
1,979 |
$0.04 |
| 1000F |
|
504 |
477 |
$0.02 |
| 1159F |
|
2,675 |
2,170 |
$0.00 |
| 90713 |
|
58 |
43 |
$0.00 |
| 3015F |
|
149 |
139 |
$0.00 |
| 3016F |
|
815 |
681 |
$0.00 |
| 1003F |
|
1,877 |
1,698 |
$0.00 |
| 4133F |
|
132 |
109 |
$0.00 |
| 4025F |
|
425 |
343 |
$0.00 |
| 90681 |
|
29 |
28 |
$0.00 |
| 4120F |
|
792 |
606 |
$0.00 |
| 99442 |
|
36 |
31 |
$0.00 |
| 90710 |
|
247 |
136 |
$0.00 |
| 1160F |
|
126 |
68 |
$0.00 |
| 4135F |
|
62 |
54 |
$0.00 |
| 4062F |
|
21 |
13 |
$0.00 |
| 3008F |
|
8,335 |
6,764 |
$0.00 |
| 96161 |
|
20 |
19 |
$0.00 |
| 90619 |
|
117 |
116 |
$0.00 |
| 90716 |
|
354 |
316 |
$0.00 |
| 2010F |
|
4,127 |
3,569 |
$0.00 |
| 3048F |
|
13 |
12 |
$0.00 |
| 4037F |
|
674 |
606 |
$0.00 |
| 2001F |
|
2,829 |
2,537 |
$0.00 |
| 96127 |
|
137 |
101 |
$0.00 |
| 1036F |
|
809 |
677 |
$0.00 |
| 1111F |
|
46 |
44 |
$0.00 |
| 90657 |
|
18 |
18 |
$0.00 |
| 94760 |
|
76 |
25 |
$0.00 |
| 90677 |
|
14 |
13 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |