| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,839 |
24,339 |
$1.63M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,451 |
16,856 |
$723K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,217 |
4,550 |
$308K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,536 |
4,156 |
$274K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,473 |
8,767 |
$227K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,585 |
3,046 |
$194K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,991 |
2,639 |
$193K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,947 |
8,342 |
$120K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,597 |
5,436 |
$74K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,668 |
4,089 |
$45K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,898 |
1,645 |
$37K |
| 99215 |
Prolong outpt/office vis |
318 |
280 |
$29K |
| 92551 |
|
3,963 |
3,557 |
$27K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,094 |
647 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,197 |
1,606 |
$14K |
| 99381 |
|
198 |
183 |
$14K |
| 99173 |
|
5,958 |
5,196 |
$9K |
| 90474 |
|
1,148 |
932 |
$8K |
| 99051 |
|
425 |
395 |
$5K |
| 96127 |
|
2,270 |
1,670 |
$5K |
| 83655 |
|
783 |
424 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
425 |
358 |
$4K |
| 99188 |
|
259 |
177 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
71 |
52 |
$3K |
| 96160 |
|
2,566 |
2,103 |
$3K |
| 99383 |
|
58 |
47 |
$3K |
| 96161 |
|
735 |
541 |
$3K |
| 87807 |
|
148 |
134 |
$2K |
| 99050 |
|
159 |
143 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
28 |
15 |
$1K |
| 85018 |
|
774 |
462 |
$1K |
| G9919 |
Screening performed and positive and provision of recommendations |
110 |
99 |
$750.00 |
| 81025 |
|
154 |
119 |
$674.01 |
| 90473 |
|
72 |
40 |
$396.34 |
| 94760 |
|
539 |
416 |
$242.54 |
| 81003 |
|
137 |
108 |
$177.12 |
| 99177 |
|
578 |
429 |
$175.00 |
| 90621 |
|
168 |
136 |
$168.40 |
| 36415 |
Collection of venous blood by venipuncture |
75 |
71 |
$129.02 |
| 99499 |
|
12 |
12 |
$108.00 |
| 36416 |
|
1,411 |
792 |
$102.18 |
| 90686 |
|
971 |
708 |
$58.09 |
| 90671 |
|
602 |
390 |
$5.72 |
| 90656 |
|
45 |
37 |
$3.75 |
| 90651 |
|
440 |
385 |
$1.13 |
| 90633 |
|
1,053 |
871 |
$0.67 |
| 90647 |
|
84 |
78 |
$0.07 |
| 90744 |
|
385 |
367 |
$0.00 |
| 90680 |
|
997 |
886 |
$0.00 |
| 90698 |
|
707 |
665 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
1,387 |
1,120 |
$0.00 |
| 90697 |
|
547 |
440 |
$0.00 |
| 90619 |
|
234 |
197 |
$0.00 |
| 90696 |
|
138 |
119 |
$0.00 |
| 90716 |
|
64 |
56 |
$0.00 |
| 99000 |
|
779 |
576 |
$0.00 |
| 3074F |
|
42 |
37 |
$0.00 |
| 90688 |
|
28 |
25 |
$0.00 |
| 90734 |
|
311 |
272 |
$0.00 |
| 90670 |
|
1,636 |
1,452 |
$0.00 |
| 90710 |
|
721 |
606 |
$0.00 |
| 90672 |
|
103 |
66 |
$0.00 |
| 90707 |
|
67 |
58 |
$0.00 |
| 90685 |
|
90 |
82 |
$0.00 |
| 90700 |
|
64 |
57 |
$0.00 |
| 90715 |
|
52 |
37 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |