| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,664 |
2,350 |
$156K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,660 |
1,518 |
$143K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
143 |
141 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
128 |
128 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
623 |
299 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
513 |
479 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
82 |
82 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
89 |
82 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
214 |
197 |
$6K |
| 90686 |
|
292 |
290 |
$4K |
| 99000 |
|
1,070 |
1,000 |
$3K |
| 92551 |
|
319 |
316 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,161 |
1,130 |
$2K |
| 99173 |
|
962 |
946 |
$2K |
| 90651 |
|
47 |
46 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
24 |
$2K |
| 96127 |
|
374 |
370 |
$2K |
| 90619 |
|
45 |
44 |
$2K |
| 99383 |
|
12 |
12 |
$962.72 |
| 87807 |
|
55 |
52 |
$668.10 |
| 81002 |
|
203 |
197 |
$580.95 |
| 0071A |
|
13 |
13 |
$520.00 |
| 96160 |
|
267 |
264 |
$473.38 |
| 85018 |
|
146 |
145 |
$334.17 |
| 96161 |
|
199 |
172 |
$324.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
18 |
$283.08 |
| 99174 |
|
52 |
52 |
$282.20 |
| 90461 |
|
222 |
221 |
$197.20 |
| 90715 |
|
12 |
12 |
$187.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
136 |
134 |
$183.60 |
| 36415 |
Collection of venous blood by venipuncture |
165 |
164 |
$149.02 |
| 90685 |
|
13 |
13 |
$143.00 |
| 90671 |
|
12 |
12 |
$132.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
262 |
260 |
$0.00 |
| 99051 |
|
57 |
54 |
$0.00 |