| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,473 |
3,403 |
$192K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,684 |
1,820 |
$133K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,461 |
1,813 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
780 |
556 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
660 |
490 |
$48K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,517 |
1,809 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
883 |
624 |
$41K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,193 |
834 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
265 |
191 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,595 |
1,077 |
$18K |
| 99199 |
Unlisted special service, procedure or report |
5,131 |
5,125 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
255 |
149 |
$14K |
| 92553 |
|
900 |
596 |
$10K |
| 87634 |
|
361 |
264 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
694 |
502 |
$6K |
| 99381 |
|
133 |
56 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
674 |
526 |
$4K |
| 90474 |
|
329 |
233 |
$4K |
| 99307 |
|
401 |
227 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
126 |
106 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
127 |
110 |
$2K |
| 96127 |
|
836 |
545 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
311 |
239 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,003 |
717 |
$1K |
| 99173 |
|
904 |
598 |
$1K |
| 90677 |
|
670 |
500 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
99 |
51 |
$868.40 |
| 85018 |
|
215 |
174 |
$467.20 |
| 81003 |
|
183 |
148 |
$298.52 |
| 90656 |
|
49 |
40 |
$236.53 |
| 90723 |
|
350 |
250 |
$0.02 |
| 90633 |
|
334 |
234 |
$0.01 |
| 90681 |
|
319 |
226 |
$0.00 |
| 90648 |
|
78 |
29 |
$0.00 |
| 90734 |
|
48 |
25 |
$0.00 |
| 90710 |
|
141 |
119 |
$0.00 |
| 90700 |
|
33 |
28 |
$0.00 |
| 90670 |
|
39 |
16 |
$0.00 |
| 90647 |
|
317 |
256 |
$0.00 |
| 90698 |
|
98 |
72 |
$0.00 |
| 90688 |
|
72 |
21 |
$0.00 |
| 90620 |
|
34 |
15 |
$0.00 |
| 36416 |
|
21 |
17 |
$0.00 |