| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,166 |
5,805 |
$222K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,572 |
3,701 |
$169K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,273 |
1,067 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
397 |
348 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
350 |
301 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
652 |
566 |
$14K |
| 81002 |
|
5,944 |
4,815 |
$8K |
| 96127 |
|
2,254 |
1,905 |
$8K |
| 93000 |
|
632 |
521 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
246 |
225 |
$7K |
| 90674 |
|
247 |
218 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
538 |
243 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
652 |
550 |
$5K |
| 90686 |
|
361 |
288 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
425 |
358 |
$4K |
| 3008F |
|
448 |
337 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
30 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
131 |
80 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
28 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
213 |
176 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
37 |
$2K |
| 92551 |
|
381 |
342 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,460 |
1,219 |
$2K |
| 82962 |
|
1,293 |
995 |
$2K |
| 90715 |
|
41 |
37 |
$2K |
| 90756 |
|
96 |
76 |
$2K |
| 90661 |
|
57 |
52 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$808.68 |
| 90688 |
|
52 |
44 |
$557.44 |
| 94760 |
|
953 |
762 |
$504.55 |
| 99406 |
|
88 |
72 |
$471.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
27 |
$195.17 |
| 90694 |
|
101 |
70 |
$157.03 |
| G0008 |
Administration of influenza virus vaccine |
462 |
321 |
$95.05 |
| 90653 |
|
50 |
38 |
$70.30 |
| 90662 |
|
26 |
13 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
179 |
130 |
$0.00 |