| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,057 |
5,810 |
$352K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,897 |
3,324 |
$293K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
946 |
875 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
853 |
804 |
$71K |
| 0502F |
|
842 |
497 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
559 |
473 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
431 |
424 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,098 |
1,854 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,581 |
1,470 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,756 |
1,505 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
291 |
250 |
$21K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
487 |
454 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
612 |
560 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
307 |
285 |
$13K |
| 81002 |
|
4,239 |
3,776 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
140 |
128 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
352 |
337 |
$9K |
| 96127 |
|
604 |
566 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
87 |
85 |
$7K |
| 90715 |
|
289 |
209 |
$6K |
| 90734 |
|
351 |
251 |
$6K |
| 90686 |
|
311 |
272 |
$5K |
| 90670 |
|
185 |
182 |
$4K |
| 90651 |
|
84 |
43 |
$3K |
| 0012A |
|
52 |
52 |
$2K |
| 0011A |
|
51 |
51 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
39 |
37 |
$2K |
| 96160 |
|
110 |
82 |
$2K |
| 90698 |
|
120 |
112 |
$1K |
| 99173 |
|
152 |
135 |
$1K |
| 17110 |
|
13 |
12 |
$920.57 |
| 36415 |
Collection of venous blood by venipuncture |
1,241 |
1,123 |
$876.30 |
| 90656 |
|
41 |
40 |
$748.80 |
| 90707 |
|
35 |
14 |
$551.65 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$364.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
15 |
$261.00 |
| 90744 |
|
16 |
15 |
$96.00 |
| 90681 |
|
12 |
12 |
$76.80 |
| 3078F |
|
1,261 |
968 |
$0.00 |
| 1159F |
|
1,877 |
1,407 |
$0.00 |
| 1003F |
|
910 |
723 |
$0.00 |
| 1033F |
|
603 |
488 |
$0.00 |
| 1160F |
|
2,449 |
1,824 |
$0.00 |
| 3725F |
|
115 |
82 |
$0.00 |
| 3074F |
|
1,291 |
1,001 |
$0.00 |
| 1220F |
|
74 |
59 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |
| 97802 |
|
166 |
153 |
$0.00 |