| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,682 |
2,862 |
$165K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,125 |
919 |
$78K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
952 |
773 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
808 |
663 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
550 |
432 |
$39K |
| 96127 |
|
1,732 |
1,334 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,187 |
1,012 |
$29K |
| 92552 |
|
1,528 |
1,160 |
$24K |
| 95930 |
|
383 |
291 |
$18K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
644 |
503 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
352 |
230 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
145 |
91 |
$11K |
| 99173 |
|
1,381 |
1,064 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
494 |
432 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
411 |
339 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
195 |
139 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
431 |
255 |
$3K |
| 96160 |
|
180 |
124 |
$2K |
| 85018 |
|
679 |
488 |
$2K |
| 83655 |
|
114 |
86 |
$1K |
| 90670 |
|
100 |
75 |
$1K |
| 99051 |
|
389 |
312 |
$1K |
| 90686 |
|
171 |
147 |
$1K |
| 90698 |
|
88 |
52 |
$924.53 |
| 90461 |
|
209 |
122 |
$845.36 |
| 36416 |
|
291 |
218 |
$794.18 |
| 99381 |
|
12 |
12 |
$725.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
54 |
51 |
$690.41 |
| 92587 |
|
38 |
26 |
$543.15 |
| 87807 |
|
40 |
38 |
$407.16 |
| 92551 |
|
20 |
20 |
$394.88 |
| 92558 |
|
31 |
16 |
$356.24 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$174.00 |
| 94760 |
|
136 |
116 |
$137.74 |
| 90734 |
|
18 |
15 |
$119.04 |
| 90685 |
|
16 |
14 |
$102.40 |
| 99072 |
|
494 |
417 |
$82.25 |
| 90648 |
|
12 |
12 |
$76.80 |
| 85014 |
|
27 |
25 |
$62.52 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
19 |
$28.00 |