| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,266 |
7,905 |
$365K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,223 |
3,128 |
$211K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,717 |
1,715 |
$202K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,496 |
1,493 |
$161K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,477 |
1,462 |
$157K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,326 |
3,079 |
$149K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
920 |
916 |
$102K |
| 99173 |
|
3,492 |
3,480 |
$22K |
| 92551 |
|
3,466 |
3,454 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
933 |
640 |
$19K |
| 99188 |
|
774 |
774 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
490 |
480 |
$17K |
| 90686 |
|
2,268 |
2,067 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,339 |
1,310 |
$12K |
| 96161 |
|
958 |
954 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
104 |
$4K |
| 90698 |
|
757 |
662 |
$4K |
| 90670 |
|
714 |
620 |
$4K |
| 90680 |
|
799 |
733 |
$3K |
| 90744 |
|
293 |
244 |
$2K |
| 0071A |
|
34 |
34 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,065 |
1,053 |
$2K |
| 90677 |
|
229 |
229 |
$1K |
| 0072A |
|
24 |
24 |
$1K |
| 90633 |
|
420 |
385 |
$1K |
| 90707 |
|
212 |
190 |
$975.00 |
| 96127 |
|
1,160 |
1,155 |
$850.02 |
| 90710 |
|
190 |
190 |
$824.80 |
| 90716 |
|
207 |
185 |
$819.00 |
| 90697 |
|
364 |
364 |
$676.00 |
| 90651 |
|
202 |
187 |
$663.00 |
| 0082A |
|
12 |
12 |
$624.00 |
| 90734 |
|
64 |
57 |
$585.00 |
| 87807 |
|
35 |
34 |
$529.76 |
| 90461 |
|
13 |
12 |
$474.48 |
| 90620 |
|
63 |
55 |
$325.00 |
| 81002 |
|
27 |
25 |
$119.02 |
| 96160 |
|
1,348 |
1,345 |
$47.31 |
| 94760 |
|
18 |
18 |
$46.44 |
| 85018 |
|
40 |
40 |
$36.12 |
| 90671 |
|
247 |
247 |
$0.00 |
| 83655 |
|
340 |
337 |
$0.00 |
| 80061 |
Lipid panel |
40 |
40 |
$0.00 |
| G9920 |
Screening performed and negative |
875 |
874 |
$0.00 |
| 98966 |
|
125 |
124 |
$0.00 |
| 90715 |
|
16 |
15 |
$0.00 |
| 91300 |
|
13 |
13 |
$0.00 |
| 3008F |
|
1,932 |
1,928 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
628 |
626 |
$0.00 |
| 90619 |
|
96 |
96 |
$0.00 |
| 91307 |
|
101 |
95 |
$0.00 |
| 90660 |
|
12 |
12 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 90656 |
|
280 |
279 |
$0.00 |