| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,171 |
2,682 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,580 |
1,357 |
$92K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
293 |
232 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,227 |
957 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
248 |
205 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
119 |
106 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
88 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
325 |
293 |
$5K |
| 90686 |
|
323 |
290 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
75 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
298 |
275 |
$1K |
| 90670 |
|
152 |
142 |
$1K |
| 90648 |
|
179 |
136 |
$1K |
| 90651 |
|
35 |
31 |
$658.48 |
| 90633 |
|
98 |
90 |
$636.12 |
| 90734 |
|
23 |
21 |
$397.20 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
35 |
26 |
$369.32 |
| 90723 |
|
49 |
41 |
$323.27 |
| 90710 |
|
15 |
15 |
$310.76 |
| 90680 |
|
35 |
28 |
$226.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
30 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
79 |
69 |
$0.00 |