| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,974 |
5,437 |
$376K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,208 |
3,006 |
$301K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,337 |
3,313 |
$268K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,482 |
3,392 |
$245K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,140 |
2,131 |
$172K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,701 |
5,666 |
$142K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
845 |
844 |
$74K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,760 |
1,686 |
$67K |
| 90671 |
|
249 |
249 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,108 |
1,819 |
$20K |
| 83655 |
|
1,598 |
1,586 |
$17K |
| 85018 |
|
7,115 |
7,060 |
$14K |
| 36416 |
|
4,512 |
4,452 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
504 |
277 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
475 |
447 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
739 |
727 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
201 |
199 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
476 |
470 |
$5K |
| 81000 |
|
1,841 |
1,783 |
$4K |
| 81002 |
|
1,207 |
1,176 |
$3K |
| 99460 |
|
57 |
57 |
$3K |
| 90677 |
|
39 |
38 |
$3K |
| 0071A |
|
56 |
56 |
$2K |
| 96127 |
|
894 |
849 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
31 |
31 |
$1K |
| 0072A |
|
33 |
33 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 90651 |
|
264 |
264 |
$1K |
| 99463 |
|
12 |
12 |
$765.60 |
| 92551 |
|
95 |
95 |
$545.62 |
| 90474 |
|
182 |
180 |
$530.82 |
| 0082A |
|
13 |
13 |
$466.94 |
| 0081A |
|
12 |
12 |
$428.36 |
| 92567 |
|
52 |
44 |
$415.31 |
| 0001A |
|
16 |
15 |
$350.00 |
| 87807 |
|
40 |
38 |
$345.27 |
| 90686 |
|
992 |
983 |
$249.38 |
| 96161 |
|
109 |
109 |
$188.43 |
| 90672 |
|
187 |
187 |
$161.28 |
| 99188 |
|
13 |
13 |
$99.20 |
| 90656 |
|
132 |
132 |
$22.35 |
| 99000 |
|
74 |
74 |
$15.00 |
| 90680 |
|
1,130 |
1,125 |
$0.00 |
| 90619 |
|
86 |
86 |
$0.00 |
| 90698 |
|
122 |
121 |
$0.00 |
| 90697 |
|
296 |
294 |
$0.00 |
| 90723 |
|
170 |
170 |
$0.00 |
| 90716 |
|
57 |
57 |
$0.00 |
| 91307 |
|
67 |
62 |
$0.00 |
| 90696 |
|
73 |
73 |
$0.00 |
| 90744 |
|
15 |
15 |
$0.00 |
| 99173 |
|
2,041 |
2,029 |
$0.00 |
| 90633 |
|
871 |
866 |
$0.00 |
| 90670 |
|
1,674 |
1,661 |
$0.00 |
| 90734 |
|
44 |
44 |
$0.00 |
| 90648 |
|
577 |
572 |
$0.00 |
| 90707 |
|
95 |
95 |
$0.00 |
| 90461 |
|
2,763 |
2,751 |
$0.00 |
| 90700 |
|
131 |
131 |
$0.00 |
| 90710 |
|
148 |
148 |
$0.00 |
| 91300 |
|
29 |
25 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 91308 |
|
30 |
30 |
$0.00 |