| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,747 |
44,063 |
$524K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,666 |
19,505 |
$244K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,106 |
3,062 |
$119K |
| 96127 |
|
18,908 |
9,576 |
$59K |
| 99215 |
Prolong outpt/office vis |
3,578 |
3,440 |
$47K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
763 |
749 |
$36K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
955 |
951 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,183 |
2,148 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
254 |
250 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
881 |
868 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
5,582 |
5,287 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
645 |
640 |
$6K |
| 0011A |
|
128 |
128 |
$5K |
| 0012A |
|
113 |
113 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
999 |
988 |
$4K |
| 92551 |
|
454 |
449 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,901 |
1,857 |
$2K |
| 81003 |
|
2,177 |
2,111 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
66 |
$1K |
| 92552 |
|
72 |
72 |
$1K |
| 99385 |
|
96 |
95 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
218 |
214 |
$1K |
| 99173 |
|
740 |
731 |
$1K |
| 81025 |
|
257 |
255 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
191 |
176 |
$1K |
| 99442 |
|
255 |
245 |
$988.04 |
| 99201 |
|
59 |
56 |
$891.71 |
| 99422 |
|
30 |
28 |
$814.04 |
| 93000 |
|
77 |
75 |
$652.83 |
| 90688 |
|
68 |
65 |
$583.42 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
210 |
206 |
$523.27 |
| 96160 |
|
183 |
127 |
$477.84 |
| 90715 |
|
95 |
92 |
$209.35 |
| 99441 |
|
68 |
67 |
$143.42 |
| 3044F |
|
175 |
173 |
$125.00 |
| 99386 |
|
25 |
25 |
$112.03 |
| 82947 |
|
544 |
534 |
$106.86 |
| 82962 |
|
45 |
45 |
$100.32 |
| 83037 |
|
323 |
301 |
$99.20 |
| 90686 |
|
186 |
185 |
$88.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
49 |
$83.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14 |
14 |
$61.91 |
| 81000 |
|
103 |
100 |
$50.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
101 |
100 |
$45.31 |
| 36416 |
|
526 |
488 |
$41.54 |
| 3008F |
|
1,385 |
1,343 |
$7.50 |
| 99443 |
|
29 |
27 |
$3.69 |
| 96161 |
|
25 |
25 |
$2.42 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
37 |
28 |
$0.18 |
| 3725F |
|
227 |
220 |
$0.00 |
| 3078F |
|
171 |
165 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
149 |
149 |
$0.00 |
| 1160F |
|
377 |
356 |
$0.00 |
| 99401 |
|
360 |
352 |
$0.00 |
| 1159F |
|
294 |
287 |
$0.00 |
| 3077F |
|
203 |
191 |
$0.00 |
| 90461 |
|
33 |
33 |
$0.00 |
| 2028F |
|
67 |
63 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
821 |
805 |
$0.00 |
| 99000 |
|
303 |
296 |
$0.00 |
| 3080F |
|
191 |
180 |
$0.00 |
| 3079F |
|
330 |
317 |
$0.00 |
| 3074F |
|
492 |
482 |
$0.00 |
| 1034F |
|
216 |
211 |
$0.00 |
| 91301 |
|
159 |
158 |
$0.00 |
| 1036F |
|
1,127 |
1,072 |
$0.00 |
| 1126F |
|
49 |
49 |
$0.00 |
| 99406 |
|
79 |
73 |
$0.00 |
| 4000F |
|
17 |
16 |
$0.00 |
| 99402 |
|
27 |
24 |
$0.00 |
| 1111F |
|
13 |
13 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
14 |
14 |
$0.00 |
| 3075F |
|
14 |
14 |
$0.00 |