| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,802 |
44,955 |
$3.05M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,565 |
5,997 |
$454K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,981 |
3,829 |
$343K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,411 |
3,393 |
$319K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,591 |
2,579 |
$244K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,780 |
1,772 |
$183K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,565 |
3,353 |
$130K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,076 |
2,950 |
$74K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,435 |
3,378 |
$50K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
645 |
589 |
$42K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
999 |
968 |
$39K |
| 90686 |
|
2,711 |
2,687 |
$38K |
| 90670 |
|
2,001 |
1,980 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
473 |
457 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,947 |
1,891 |
$25K |
| T1015 |
Clinic visit/encounter, all-inclusive |
279 |
188 |
$23K |
| 90688 |
|
1,332 |
1,314 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,261 |
1,240 |
$19K |
| 90680 |
|
1,203 |
1,191 |
$17K |
| 0001A |
|
474 |
469 |
$16K |
| 0002A |
|
443 |
442 |
$16K |
| 90651 |
|
1,079 |
1,064 |
$14K |
| 99499 |
|
507 |
503 |
$14K |
| 99429 |
|
508 |
504 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,181 |
1,025 |
$12K |
| 90715 |
|
643 |
637 |
$12K |
| 92551 |
|
1,625 |
1,616 |
$12K |
| 0011A |
|
247 |
241 |
$9K |
| 90697 |
|
482 |
476 |
$9K |
| 0012A |
|
242 |
238 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
104 |
101 |
$9K |
| 90633 |
|
653 |
647 |
$8K |
| 90671 |
|
465 |
461 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
302 |
301 |
$8K |
| 76801 |
|
112 |
103 |
$7K |
| 0071A |
|
173 |
171 |
$7K |
| 81025 |
|
854 |
827 |
$6K |
| 94760 |
|
6,038 |
5,662 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
734 |
724 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
600 |
507 |
$6K |
| D9999 |
Unspecified adjunctive procedure, by report |
238 |
238 |
$6K |
| 0072A |
|
158 |
156 |
$6K |
| 90698 |
|
508 |
501 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
183 |
183 |
$5K |
| 90619 |
|
262 |
254 |
$4K |
| 81003 |
|
1,846 |
1,743 |
$4K |
| 96127 |
|
935 |
495 |
$4K |
| 90734 |
|
302 |
300 |
$3K |
| 87807 |
|
202 |
200 |
$2K |
| 90648 |
|
268 |
267 |
$2K |
| 0064A |
|
65 |
61 |
$2K |
| 90744 |
|
179 |
179 |
$2K |
| 96161 |
|
917 |
874 |
$2K |
| 90656 |
|
221 |
219 |
$2K |
| 76813 |
|
26 |
26 |
$2K |
| 0004A |
|
49 |
47 |
$2K |
| 90710 |
|
125 |
124 |
$2K |
| 0031A |
|
47 |
47 |
$2K |
| 90685 |
|
142 |
142 |
$2K |
| 90696 |
|
114 |
113 |
$1K |
| 0052A |
|
34 |
34 |
$1K |
| 99442 |
|
32 |
29 |
$1K |
| 17110 |
|
14 |
12 |
$942.60 |
| 90620 |
|
43 |
42 |
$714.42 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$706.02 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$608.41 |
| 90723 |
|
65 |
64 |
$490.11 |
| 0051A |
|
13 |
13 |
$480.00 |
| 0054A |
|
14 |
13 |
$480.00 |
| 83655 |
|
42 |
40 |
$446.20 |
| 90700 |
|
44 |
44 |
$435.86 |
| 83037 |
|
29 |
28 |
$281.15 |
| 90716 |
|
14 |
12 |
$227.78 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
15 |
$177.76 |
| 90707 |
|
12 |
12 |
$158.95 |
| 90658 |
|
16 |
15 |
$117.03 |
| 86580 |
|
19 |
12 |
$105.48 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
15 |
$18.20 |
| 87428 |
|
517 |
513 |
$10.00 |
| 91301 |
|
545 |
507 |
$0.00 |
| 91307 |
|
352 |
316 |
$0.00 |
| 91305 |
|
135 |
131 |
$0.00 |
| 91306 |
|
30 |
29 |
$0.00 |
| 91303 |
|
47 |
47 |
$0.00 |
| 0500F |
|
37 |
37 |
$0.00 |
| 91300 |
|
981 |
888 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
38 |
38 |
$0.00 |
| 99072 |
|
166 |
160 |
$0.00 |
| 0502F |
|
198 |
139 |
$0.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
16 |
16 |
$0.00 |