| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,782 |
3,201 |
$242K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,338 |
1,231 |
$144K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,764 |
2,394 |
$109K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,106 |
2,886 |
$58K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,080 |
1,784 |
$40K |
| 99441 |
|
1,058 |
924 |
$38K |
| 92553 |
|
983 |
983 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
239 |
239 |
$20K |
| 92550 |
|
1,025 |
1,017 |
$14K |
| 99442 |
|
192 |
186 |
$13K |
| 99051 |
|
2,192 |
1,937 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
110 |
110 |
$8K |
| 97802 |
|
1,063 |
1,060 |
$7K |
| 36410 |
|
831 |
814 |
$6K |
| 86580 |
|
798 |
796 |
$5K |
| 92552 |
|
340 |
340 |
$4K |
| 92283 |
|
279 |
279 |
$4K |
| 96127 |
|
1,113 |
1,111 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
82 |
71 |
$3K |
| 92587 |
|
234 |
234 |
$2K |
| 99173 |
|
1,010 |
1,010 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
102 |
101 |
$1K |
| 81002 |
|
566 |
533 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
265 |
263 |
$718.62 |
| 0072A |
|
16 |
16 |
$640.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$609.54 |
| 0071A |
|
14 |
14 |
$560.00 |
| 90686 |
|
139 |
138 |
$404.80 |
| 99072 |
|
262 |
184 |
$383.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
33 |
30 |
$363.25 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
62 |
62 |
$314.38 |
| 87486 |
|
13 |
13 |
$266.53 |
| 92567 |
|
16 |
16 |
$265.23 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
14 |
$196.17 |
| 92551 |
|
20 |
20 |
$167.80 |
| 90688 |
|
13 |
13 |
$92.01 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
42 |
$21.57 |
| 91307 |
|
33 |
31 |
$0.00 |