| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,168 |
7,890 |
$282K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,043 |
2,920 |
$229K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,246 |
2,127 |
$178K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,334 |
2,159 |
$161K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,321 |
7,193 |
$154K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,658 |
1,518 |
$138K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,869 |
2,548 |
$132K |
| 99429 |
|
3,202 |
2,911 |
$87K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
937 |
879 |
$35K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,349 |
1,083 |
$34K |
| 90461 |
|
9,134 |
2,352 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,725 |
1,935 |
$21K |
| 90837 |
Psychotherapy, 53 minutes with patient |
242 |
95 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,035 |
481 |
$13K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,030 |
1,857 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
527 |
456 |
$6K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
52 |
38 |
$5K |
| 99381 |
|
74 |
72 |
$5K |
| 99460 |
|
77 |
74 |
$4K |
| 96160 |
|
1,634 |
1,523 |
$3K |
| 99215 |
Prolong outpt/office vis |
40 |
36 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
42 |
42 |
$2K |
| 87807 |
|
80 |
78 |
$847.00 |
| 80061 |
Lipid panel |
66 |
55 |
$573.75 |
| 90686 |
|
2,914 |
2,787 |
$469.38 |
| 69210 |
|
13 |
13 |
$466.57 |
| 0071A |
|
13 |
13 |
$360.00 |
| 90651 |
|
310 |
297 |
$269.75 |
| 90670 |
|
1,778 |
1,602 |
$227.66 |
| 82947 |
|
66 |
57 |
$178.20 |
| 90715 |
|
110 |
105 |
$131.54 |
| 86580 |
|
16 |
12 |
$77.52 |
| 96161 |
|
129 |
121 |
$42.86 |
| 90677 |
|
230 |
190 |
$0.57 |
| 90697 |
|
161 |
140 |
$0.45 |
| 91307 |
|
16 |
14 |
$0.05 |
| 90734 |
|
256 |
250 |
$0.01 |
| 90707 |
|
100 |
97 |
$0.00 |
| 90633 |
|
725 |
671 |
$0.00 |
| 90648 |
|
325 |
308 |
$0.00 |
| 90710 |
|
32 |
32 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |
| 90656 |
|
268 |
247 |
$0.00 |
| 90723 |
|
258 |
243 |
$0.00 |
| 90680 |
|
585 |
530 |
$0.00 |
| 90698 |
|
660 |
603 |
$0.00 |
| 90716 |
|
97 |
95 |
$0.00 |
| 3074F |
|
14 |
14 |
$0.00 |
| 90696 |
|
27 |
27 |
$0.00 |
| 90744 |
|
39 |
39 |
$0.00 |
| 90688 |
|
17 |
17 |
$0.00 |