| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,712 |
7,180 |
$260K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,848 |
3,592 |
$252K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,745 |
2,623 |
$150K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,133 |
1,986 |
$108K |
| 99215 |
Prolong outpt/office vis |
765 |
706 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
603 |
555 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
364 |
315 |
$21K |
| 99381 |
|
298 |
269 |
$16K |
| 90670 |
|
1,199 |
1,160 |
$14K |
| 90723 |
|
963 |
930 |
$12K |
| 90647 |
|
873 |
834 |
$10K |
| 90686 |
|
661 |
620 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
420 |
373 |
$8K |
| 90681 |
|
528 |
501 |
$6K |
| 90633 |
|
420 |
399 |
$5K |
| 92551 |
|
555 |
525 |
$4K |
| 90671 |
|
325 |
324 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
70 |
70 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
65 |
$3K |
| 90697 |
|
194 |
194 |
$3K |
| 90680 |
|
180 |
180 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,787 |
1,587 |
$2K |
| 96127 |
|
633 |
584 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
160 |
144 |
$2K |
| 90710 |
|
123 |
120 |
$2K |
| 0072A |
|
14 |
14 |
$1K |
| 94760 |
|
73 |
71 |
$979.01 |
| 88720 |
|
127 |
118 |
$835.62 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
61 |
51 |
$522.80 |
| 87807 |
|
23 |
23 |
$299.23 |
| 90700 |
|
16 |
16 |
$210.24 |
| 83655 |
|
12 |
12 |
$155.52 |
| 99177 |
|
105 |
102 |
$0.00 |
| 96160 |
|
12 |
12 |
$0.00 |
| 96161 |
|
539 |
497 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
24 |
16 |
$0.00 |
| 91307 |
|
18 |
18 |
$0.00 |