| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,495 |
13,184 |
$1.22M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,790 |
8,678 |
$553K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,611 |
2,557 |
$199K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,449 |
2,245 |
$169K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,807 |
3,549 |
$130K |
| 99215 |
Prolong outpt/office vis |
1,108 |
1,046 |
$105K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,252 |
1,234 |
$95K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,959 |
3,239 |
$90K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
826 |
760 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
620 |
608 |
$51K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
542 |
526 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,758 |
3,648 |
$40K |
| 90686 |
|
2,892 |
2,818 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,670 |
2,491 |
$35K |
| 90670 |
|
1,690 |
1,634 |
$31K |
| 90677 |
|
388 |
370 |
$28K |
| G9920 |
Screening performed and negative |
3,861 |
3,607 |
$28K |
| 92551 |
|
2,813 |
2,738 |
$27K |
| 99188 |
|
1,147 |
1,115 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
226 |
222 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,298 |
1,208 |
$19K |
| 90680 |
|
1,207 |
1,157 |
$17K |
| 90697 |
|
470 |
439 |
$16K |
| 90633 |
|
1,254 |
1,225 |
$16K |
| 90698 |
|
1,019 |
993 |
$14K |
| 87807 |
|
1,079 |
1,005 |
$13K |
| 96127 |
|
2,383 |
2,262 |
$13K |
| 93000 |
|
1,076 |
1,008 |
$12K |
| 99381 |
|
198 |
160 |
$11K |
| 90651 |
|
458 |
446 |
$10K |
| 90744 |
|
739 |
700 |
$9K |
| 90619 |
|
156 |
152 |
$7K |
| 99173 |
|
3,206 |
3,084 |
$7K |
| 90716 |
|
357 |
341 |
$7K |
| 99383 |
|
74 |
74 |
$7K |
| 99490 |
Ccm add 20min |
1,487 |
1,389 |
$6K |
| 0001A |
|
148 |
145 |
$6K |
| 90715 |
|
290 |
279 |
$6K |
| 0002A |
|
145 |
143 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
41 |
$4K |
| 90707 |
|
252 |
248 |
$4K |
| 0003A |
|
110 |
106 |
$4K |
| 99385 |
|
46 |
44 |
$4K |
| 90710 |
|
205 |
203 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
92 |
$4K |
| 0071A |
|
94 |
90 |
$4K |
| 91320 |
|
36 |
28 |
$3K |
| 0072A |
|
85 |
82 |
$3K |
| 96161 |
|
2,265 |
1,572 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
15 |
13 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
409 |
389 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
204 |
130 |
$3K |
| 90696 |
|
179 |
177 |
$2K |
| 90685 |
|
196 |
189 |
$2K |
| 90700 |
|
169 |
167 |
$2K |
| 99382 |
|
31 |
24 |
$2K |
| 90734 |
|
105 |
101 |
$2K |
| 96160 |
|
908 |
889 |
$2K |
| 81002 |
|
578 |
540 |
$2K |
| 0124A |
|
43 |
43 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 92587 |
|
100 |
84 |
$1K |
| 3078F |
|
145 |
141 |
$825.00 |
| 90621 |
|
43 |
43 |
$792.56 |
| 3074F |
|
153 |
149 |
$750.00 |
| 90647 |
|
41 |
41 |
$565.90 |
| 90480 |
|
37 |
29 |
$507.00 |
| 99491 |
Ccm add 20min |
378 |
358 |
$504.93 |
| 4013F |
|
319 |
302 |
$475.00 |
| 3061F |
|
248 |
238 |
$325.00 |
| 90713 |
|
26 |
25 |
$316.94 |
| 0513F |
|
115 |
108 |
$308.00 |
| 85018 |
|
144 |
128 |
$289.02 |
| 3044F |
|
41 |
40 |
$220.00 |
| 90662 |
|
20 |
15 |
$179.96 |
| 4010F |
|
233 |
224 |
$175.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$154.65 |
| 90648 |
|
12 |
12 |
$132.00 |
| 36415 |
Collection of venous blood by venipuncture |
53 |
52 |
$113.23 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
28 |
$85.00 |
| 3014F |
|
12 |
12 |
$75.00 |
| 99497 |
|
14 |
12 |
$68.26 |
| 36416 |
|
147 |
131 |
$45.85 |
| 91312 |
|
58 |
57 |
$40.30 |
| 91300 |
|
491 |
438 |
$3.11 |
| 91307 |
|
222 |
199 |
$1.51 |
| 91308 |
|
40 |
39 |
$0.30 |
| 3288F |
|
14 |
12 |
$0.00 |