| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,506 |
12,603 |
$588K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,934 |
4,101 |
$373K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,181 |
2,041 |
$135K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,006 |
1,917 |
$130K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,865 |
1,762 |
$121K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,682 |
1,571 |
$104K |
| 92081 |
|
2,653 |
2,524 |
$76K |
| 92587 |
|
2,141 |
2,026 |
$70K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
240 |
211 |
$43K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,712 |
1,585 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,602 |
2,240 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,039 |
884 |
$18K |
| Q3014 |
Telehealth originating site facility fee |
918 |
807 |
$18K |
| 90670 |
|
1,429 |
1,358 |
$11K |
| 90647 |
|
1,071 |
1,025 |
$8K |
| 90723 |
|
1,039 |
1,003 |
$8K |
| 90680 |
|
910 |
878 |
$7K |
| 90686 |
|
678 |
667 |
$5K |
| 90633 |
|
438 |
411 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
59 |
53 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
90 |
77 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
63 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
118 |
107 |
$1K |
| 90734 |
|
150 |
148 |
$1K |
| 99381 |
|
16 |
12 |
$760.00 |
| 90710 |
|
93 |
92 |
$736.00 |
| 90651 |
|
86 |
86 |
$648.00 |
| 90461 |
|
14 |
14 |
$600.80 |
| 90677 |
|
61 |
61 |
$488.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
15 |
$300.00 |
| 87420 |
|
21 |
19 |
$280.00 |
| 90688 |
|
12 |
12 |
$214.08 |
| 90715 |
|
28 |
27 |
$208.00 |
| 85027 |
|
48 |
38 |
$179.73 |
| 90619 |
|
17 |
16 |
$120.00 |
| 90696 |
|
15 |
14 |
$112.00 |
| 90700 |
|
13 |
13 |
$104.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
12 |
$28.00 |
| 99000 |
|
608 |
474 |
$21.00 |
| 99051 |
|
1,382 |
1,182 |
$0.00 |