| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,729 |
9,747 |
$676K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,474 |
2,265 |
$206K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,554 |
1,472 |
$97K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,376 |
1,304 |
$86K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,170 |
1,128 |
$73K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,623 |
1,276 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
353 |
333 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,628 |
1,468 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,352 |
1,288 |
$17K |
| 90670 |
|
858 |
824 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
519 |
489 |
$13K |
| 90648 |
|
738 |
689 |
$12K |
| 92552 |
|
630 |
599 |
$12K |
| 90686 |
|
584 |
559 |
$10K |
| 90723 |
|
344 |
320 |
$6K |
| 90633 |
|
334 |
310 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
82 |
79 |
$5K |
| 90680 |
|
287 |
264 |
$4K |
| 99460 |
|
59 |
51 |
$4K |
| 99173 |
|
742 |
714 |
$3K |
| 96127 |
|
694 |
656 |
$3K |
| 90651 |
|
191 |
188 |
$3K |
| 69210 |
|
94 |
82 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
53 |
47 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
67 |
$2K |
| 90734 |
|
55 |
54 |
$989.50 |
| 90656 |
|
119 |
116 |
$880.00 |
| 87807 |
|
90 |
72 |
$792.00 |
| 90671 |
|
82 |
79 |
$624.00 |
| 90685 |
|
32 |
31 |
$573.91 |
| 90647 |
|
30 |
30 |
$573.91 |
| 90710 |
|
34 |
29 |
$554.12 |
| 90658 |
|
32 |
26 |
$514.54 |
| 90696 |
|
32 |
27 |
$514.54 |
| 90677 |
|
55 |
42 |
$461.48 |
| 96160 |
|
213 |
203 |
$432.18 |
| 90649 |
|
13 |
12 |
$217.69 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
40 |
$71.80 |
| 3078F |
|
737 |
695 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23 |
23 |
$0.00 |
| 90461 |
|
19 |
19 |
$0.00 |
| 3074F |
|
766 |
723 |
$0.00 |
| 3079F |
|
15 |
15 |
$0.00 |