| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,965 |
8,982 |
$395K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,740 |
4,428 |
$287K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,333 |
1,320 |
$111K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,108 |
1,075 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,207 |
1,196 |
$84K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
541 |
513 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
706 |
697 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,454 |
2,415 |
$36K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
849 |
806 |
$28K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
247 |
243 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
532 |
527 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,747 |
2,588 |
$18K |
| 87634 |
|
47 |
47 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
548 |
539 |
$4K |
| 0071A |
|
105 |
105 |
$4K |
| 0072A |
|
106 |
106 |
$3K |
| 90686 |
|
1,275 |
1,252 |
$3K |
| 96127 |
|
831 |
819 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
112 |
106 |
$3K |
| 90461 |
|
621 |
616 |
$2K |
| 99051 |
|
415 |
395 |
$2K |
| 0001A |
|
31 |
29 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
147 |
144 |
$1K |
| 90670 |
|
366 |
355 |
$460.00 |
| 85018 |
|
125 |
118 |
$313.42 |
| 83655 |
|
52 |
51 |
$292.86 |
| 80061 |
Lipid panel |
51 |
50 |
$291.19 |
| 92551 |
|
86 |
85 |
$246.20 |
| 99173 |
|
86 |
84 |
$177.30 |
| 90647 |
|
237 |
232 |
$130.00 |
| 90723 |
|
248 |
242 |
$120.00 |
| 90672 |
|
156 |
156 |
$40.00 |
| 90473 |
|
28 |
28 |
$14.50 |
| 90680 |
|
168 |
165 |
$10.00 |
| 94760 |
|
15 |
14 |
$2.48 |
| 90734 |
|
77 |
77 |
$0.00 |
| 90633 |
|
74 |
74 |
$0.00 |
| 90715 |
|
39 |
37 |
$0.00 |
| 90677 |
|
219 |
214 |
$0.00 |
| 36416 |
|
163 |
158 |
$0.00 |
| 91307 |
|
31 |
31 |
$0.00 |
| G2181 |
Bmi not documented due to medical reason or patient refusal of height or weight measurement |
884 |
755 |
$0.00 |
| 90651 |
|
26 |
26 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |