| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,515 |
8,529 |
$436K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,683 |
6,239 |
$421K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,984 |
1,894 |
$156K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,492 |
1,440 |
$120K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,027 |
953 |
$79K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
226 |
214 |
$58K |
| 97803 |
|
4,270 |
3,984 |
$49K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,603 |
2,089 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,102 |
887 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
516 |
477 |
$38K |
| 99401 |
|
2,488 |
2,002 |
$29K |
| 92552 |
|
2,450 |
2,363 |
$27K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
119 |
14 |
$17K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,544 |
2,264 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
99 |
72 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
488 |
448 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,617 |
1,533 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,109 |
1,036 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
645 |
394 |
$4K |
| 99383 |
|
55 |
51 |
$3K |
| 97802 |
|
408 |
373 |
$3K |
| 91300 |
|
159 |
129 |
$3K |
| 0001A |
|
115 |
102 |
$2K |
| 99384 |
|
26 |
26 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
54 |
48 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
15 |
$1K |
| 81000 |
|
2,043 |
1,959 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
25 |
$1K |
| 92567 |
|
235 |
215 |
$996.93 |
| 0002A |
|
32 |
32 |
$397.78 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,510 |
1,380 |
$394.35 |
| 90670 |
|
320 |
260 |
$180.05 |
| 90658 |
|
238 |
230 |
$56.01 |
| 90700 |
|
116 |
104 |
$48.00 |
| 90713 |
|
53 |
48 |
$31.97 |
| 90461 |
|
559 |
514 |
$24.00 |
| 81025 |
|
12 |
12 |
$21.04 |
| 85018 |
|
88 |
67 |
$17.82 |
| 81007 |
|
12 |
12 |
$10.92 |
| 90698 |
|
50 |
40 |
$10.00 |
| 3008F |
|
13,156 |
9,752 |
$0.01 |
| 90716 |
|
31 |
27 |
$0.00 |
| 3074F |
|
818 |
587 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
103 |
103 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90680 |
|
15 |
15 |
$0.00 |
| 3079F |
|
21 |
15 |
$0.00 |
| 90660 |
|
14 |
12 |
$0.00 |
| 90714 |
|
29 |
29 |
$0.00 |
| 90710 |
|
42 |
30 |
$0.00 |
| 3078F |
|
695 |
480 |
$0.00 |
| 90633 |
|
34 |
34 |
$0.00 |
| 90707 |
|
27 |
26 |
$0.00 |
| 90649 |
|
58 |
55 |
$0.00 |