| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,327 |
12,873 |
$1.23M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,528 |
3,125 |
$397K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,430 |
3,222 |
$362K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,610 |
2,350 |
$254K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,287 |
2,140 |
$241K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
977 |
910 |
$113K |
| 90686 |
|
3,959 |
3,432 |
$85K |
| 92551 |
|
4,683 |
4,363 |
$43K |
| 90670 |
|
1,642 |
1,531 |
$36K |
| 90680 |
|
1,027 |
974 |
$23K |
| 90698 |
|
860 |
848 |
$20K |
| 90633 |
|
670 |
621 |
$15K |
| 90697 |
|
708 |
653 |
$14K |
| 90677 |
|
398 |
379 |
$10K |
| 99215 |
Prolong outpt/office vis |
84 |
75 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
791 |
593 |
$8K |
| 99174 |
|
1,332 |
1,254 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
242 |
229 |
$8K |
| 90656 |
|
291 |
283 |
$6K |
| 99173 |
|
2,586 |
2,380 |
$6K |
| 83655 |
|
642 |
538 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
73 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
477 |
463 |
$4K |
| 96127 |
|
883 |
870 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
393 |
131 |
$3K |
| 96160 |
|
479 |
431 |
$3K |
| 90651 |
|
70 |
66 |
$2K |
| 99177 |
|
270 |
268 |
$1K |
| 85018 |
|
789 |
672 |
$1K |
| 90744 |
|
53 |
51 |
$1K |
| 0071A |
|
23 |
23 |
$936.14 |
| 0072A |
|
23 |
23 |
$925.70 |
| 90710 |
|
39 |
39 |
$907.92 |
| 90696 |
|
40 |
40 |
$907.92 |
| 90619 |
|
38 |
36 |
$814.80 |
| 90716 |
|
24 |
24 |
$558.72 |
| 90700 |
|
24 |
24 |
$535.44 |
| 90661 |
|
114 |
56 |
$535.44 |
| 90648 |
|
12 |
12 |
$279.36 |
| 90707 |
|
12 |
12 |
$279.36 |
| 90688 |
|
15 |
13 |
$279.36 |
| 96161 |
|
55 |
55 |
$146.81 |
| 1160F |
|
3,996 |
3,186 |
$0.00 |
| 1159F |
|
3,994 |
3,184 |
$0.00 |
| 3725F |
|
237 |
219 |
$0.00 |
| 3078F |
|
1,271 |
1,157 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
48 |
43 |
$0.00 |
| 3074F |
|
1,318 |
1,203 |
$0.00 |
| 3008F |
|
2,367 |
2,078 |
$0.00 |
| 36416 |
|
315 |
296 |
$0.00 |
| 1036F |
|
734 |
637 |
$0.00 |
| 99000 |
|
75 |
69 |
$0.00 |