| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,492 |
4,500 |
$153K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
885 |
666 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,271 |
990 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
529 |
450 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
510 |
453 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
465 |
297 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,670 |
1,537 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
418 |
342 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
478 |
282 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
763 |
717 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
302 |
233 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
61 |
38 |
$3K |
| 87428 |
|
114 |
109 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
209 |
182 |
$1K |
| 99383 |
|
12 |
12 |
$880.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,511 |
1,021 |
$818.68 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$779.51 |
| 99188 |
|
123 |
67 |
$705.10 |
| H1000 |
Prenatal care, at-risk assessment |
13 |
13 |
$632.47 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
146 |
132 |
$565.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
82 |
$515.84 |
| 0012A |
|
19 |
12 |
$440.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$370.96 |
| 0071A |
|
23 |
23 |
$280.00 |
| 0072A |
|
18 |
18 |
$240.00 |
| 90686 |
|
814 |
708 |
$222.05 |
| 90670 |
|
331 |
246 |
$180.05 |
| 90674 |
|
53 |
49 |
$130.88 |
| 36415 |
Collection of venous blood by venipuncture |
75 |
66 |
$106.05 |
| 1000F |
|
7,809 |
6,306 |
$99.85 |
| 83026 |
|
70 |
68 |
$91.59 |
| 83655 |
|
17 |
15 |
$82.64 |
| 81002 |
|
70 |
61 |
$71.81 |
| 85018 |
|
56 |
55 |
$54.21 |
| 90651 |
|
162 |
160 |
$35.88 |
| 3074F |
|
6,444 |
5,526 |
$25.00 |
| 82947 |
|
13 |
12 |
$17.09 |
| 1159F |
|
6,233 |
5,308 |
$10.00 |
| 90734 |
|
128 |
126 |
$10.00 |
| 3008F |
|
11,143 |
8,429 |
$0.04 |
| 3351F |
|
2,041 |
1,498 |
$0.04 |
| 2001F |
|
9,909 |
8,120 |
$0.02 |
| 1033F |
|
643 |
536 |
$0.01 |
| 99173 |
|
1,515 |
1,256 |
$0.00 |
| 4035F |
|
555 |
531 |
$0.00 |
| 1160F |
|
6,280 |
5,321 |
$0.00 |
| 3078F |
|
5,508 |
4,552 |
$0.00 |
| 4158F |
|
65 |
62 |
$0.00 |
| 90461 |
|
232 |
114 |
$0.00 |
| 3077F |
|
66 |
50 |
$0.00 |
| 90633 |
|
82 |
79 |
$0.00 |
| 3210F |
|
294 |
254 |
$0.00 |
| 4004F |
|
60 |
49 |
$0.00 |
| 1158F |
|
182 |
128 |
$0.00 |
| 90715 |
|
26 |
25 |
$0.00 |
| 4040F |
|
18 |
18 |
$0.00 |
| 3015F |
|
19 |
14 |
$0.00 |
| 1220F |
|
2,850 |
2,471 |
$0.00 |
| 1126F |
|
2,855 |
2,553 |
$0.00 |
| 3044F |
|
343 |
290 |
$0.00 |
| 3079F |
|
1,479 |
1,140 |
$0.00 |
| 3075F |
|
332 |
282 |
$0.00 |
| 2000F |
|
6,345 |
5,234 |
$0.00 |
| 96127 |
|
423 |
383 |
$0.00 |
| 92551 |
|
1,505 |
1,246 |
$0.00 |
| 1030F |
|
722 |
616 |
$0.00 |
| 1101F |
|
50 |
41 |
$0.00 |
| 1036F |
|
1,525 |
1,157 |
$0.00 |
| 1125F |
|
142 |
109 |
$0.00 |
| 3080F |
|
15 |
13 |
$0.00 |
| 90620 |
|
29 |
29 |
$0.00 |
| 4000F |
|
190 |
143 |
$0.00 |
| 90647 |
|
120 |
87 |
$0.00 |
| 3352F |
|
15 |
15 |
$0.00 |
| 4037F |
|
265 |
258 |
$0.00 |
| 90656 |
|
18 |
18 |
$0.00 |
| 1157F |
|
128 |
35 |
$0.00 |
| 90723 |
|
144 |
97 |
$0.00 |
| 3353F |
|
46 |
31 |
$0.00 |
| 1034F |
|
135 |
97 |
$0.00 |
| 90677 |
|
19 |
12 |
$0.00 |
| 4010F |
|
36 |
13 |
$0.00 |
| 1022F |
|
18 |
18 |
$0.00 |