| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,552 |
2,844 |
$203K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,245 |
1,041 |
$99K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
806 |
652 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
389 |
304 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,658 |
2,152 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
854 |
685 |
$28K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,359 |
1,087 |
$28K |
| 92587 |
|
2,447 |
1,998 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
218 |
193 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
225 |
174 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,431 |
1,793 |
$13K |
| 92015 |
Determination of refractive state |
1,250 |
937 |
$7K |
| 87428 |
|
122 |
98 |
$6K |
| 99177 |
|
933 |
833 |
$2K |
| 99402 |
|
1,450 |
1,259 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
124 |
45 |
$2K |
| 90473 |
|
150 |
126 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 36416 |
|
513 |
390 |
$1K |
| 0071A |
|
60 |
28 |
$1K |
| 0072A |
|
52 |
28 |
$1K |
| 96127 |
|
249 |
220 |
$911.87 |
| 90670 |
|
220 |
174 |
$909.47 |
| 90686 |
|
546 |
431 |
$775.42 |
| 90698 |
|
226 |
180 |
$721.25 |
| 83655 |
|
43 |
39 |
$450.85 |
| 90685 |
|
53 |
53 |
$366.16 |
| 99401 |
|
366 |
281 |
$357.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
12 |
$341.03 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
13 |
$301.21 |
| 85018 |
|
127 |
107 |
$268.44 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
12 |
$262.63 |
| 90734 |
|
58 |
40 |
$147.56 |
| 90744 |
|
28 |
24 |
$143.44 |
| 80061 |
Lipid panel |
25 |
13 |
$118.94 |
| 90620 |
|
101 |
82 |
$75.04 |
| 90651 |
|
89 |
72 |
$60.06 |
| 90672 |
|
234 |
180 |
$50.61 |
| 82947 |
|
25 |
13 |
$39.76 |
| 90710 |
|
50 |
37 |
$15.00 |
| 90715 |
|
29 |
17 |
$0.75 |
| 90633 |
|
160 |
122 |
$0.00 |
| 99072 |
|
2,565 |
1,900 |
$0.00 |
| 91300 |
|
94 |
45 |
$0.00 |