| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,272 |
2,816 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,004 |
918 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
772 |
751 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,630 |
1,534 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,970 |
1,911 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
634 |
622 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
425 |
411 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,139 |
1,039 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
502 |
491 |
$4K |
| 81000 |
|
1,300 |
1,232 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$3K |
| 99173 |
|
1,033 |
1,003 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
191 |
183 |
$2K |
| 99429 |
|
93 |
68 |
$2K |
| 92551 |
|
673 |
641 |
$2K |
| 96127 |
|
243 |
231 |
$1K |
| 36416 |
|
480 |
457 |
$633.60 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
33 |
26 |
$464.85 |
| 96161 |
|
187 |
181 |
$445.65 |
| 36415 |
Collection of venous blood by venipuncture |
263 |
254 |
$333.75 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
19 |
$267.25 |
| 99051 |
|
12 |
12 |
$186.20 |
| 81003 |
|
79 |
77 |
$62.79 |
| 90633 |
|
12 |
12 |
$52.72 |
| 90686 |
|
289 |
282 |
$50.00 |
| 90670 |
|
310 |
304 |
$0.00 |
| 5250F |
|
14 |
12 |
$0.00 |
| 90685 |
|
64 |
64 |
$0.00 |
| 99072 |
|
13 |
12 |
$0.00 |
| 99174 |
|
301 |
289 |
$0.00 |
| 90698 |
|
109 |
109 |
$0.00 |
| 90680 |
|
94 |
91 |
$0.00 |
| 90656 |
|
41 |
39 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |