| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,390 |
23,622 |
$1.71M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,289 |
12,638 |
$1.30M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,079 |
4,046 |
$378K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,867 |
2,827 |
$253K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,648 |
2,635 |
$248K |
| 90686 |
|
3,961 |
3,956 |
$57K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
898 |
871 |
$44K |
| 99174 |
|
5,373 |
5,333 |
$44K |
| 99215 |
Prolong outpt/office vis |
265 |
253 |
$40K |
| 90670 |
|
2,311 |
2,295 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
312 |
309 |
$31K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
281 |
277 |
$23K |
| 92551 |
|
2,852 |
2,830 |
$18K |
| 90723 |
|
1,160 |
1,151 |
$16K |
| 90647 |
|
1,154 |
1,146 |
$16K |
| 90688 |
|
1,100 |
1,086 |
$14K |
| 90680 |
|
795 |
791 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
348 |
348 |
$7K |
| Q3014 |
Telehealth originating site facility fee |
415 |
389 |
$6K |
| 90633 |
|
518 |
516 |
$6K |
| 90685 |
|
248 |
246 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
923 |
889 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
92 |
90 |
$3K |
| 90710 |
|
188 |
187 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
118 |
85 |
$2K |
| 99173 |
|
1,060 |
1,053 |
$2K |
| 83655 |
|
120 |
119 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 90707 |
|
74 |
74 |
$1K |
| 85018 |
|
424 |
422 |
$957.82 |
| 90677 |
|
39 |
39 |
$767.91 |
| 36416 |
|
327 |
325 |
$720.20 |
| 90480 |
|
18 |
18 |
$640.00 |
| 90715 |
|
37 |
37 |
$422.40 |
| 90651 |
|
40 |
40 |
$415.51 |
| 90696 |
|
29 |
29 |
$391.07 |
| 90700 |
|
25 |
25 |
$272.72 |
| 90716 |
|
13 |
13 |
$255.97 |
| 90656 |
|
85 |
85 |
$220.08 |
| 90734 |
|
13 |
13 |
$124.02 |
| 91321 |
|
19 |
19 |
$52.84 |
| 96127 |
|
15 |
15 |
$41.04 |