| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,296 |
21,033 |
$1.81M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,137 |
14,866 |
$879K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,288 |
4,897 |
$380K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,858 |
4,147 |
$313K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,887 |
2,726 |
$207K |
| 90670 |
|
2,727 |
2,508 |
$67K |
| 90686 |
|
6,137 |
5,340 |
$62K |
| 99215 |
Prolong outpt/office vis |
401 |
371 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
588 |
557 |
$45K |
| 90698 |
|
1,354 |
1,259 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,117 |
1,032 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,083 |
1,874 |
$21K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
708 |
686 |
$21K |
| 99000 |
|
6,015 |
5,654 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,944 |
16,962 |
$18K |
| 90680 |
|
881 |
830 |
$14K |
| 90710 |
|
431 |
386 |
$14K |
| 90837 |
Psychotherapy, 53 minutes with patient |
95 |
68 |
$10K |
| 90633 |
|
896 |
669 |
$9K |
| 99173 |
|
4,121 |
3,888 |
$8K |
| 90461 |
|
6,689 |
5,953 |
$8K |
| 99174 |
|
1,417 |
1,334 |
$6K |
| 96127 |
|
1,171 |
1,099 |
$6K |
| 90651 |
|
165 |
151 |
$5K |
| 90685 |
|
416 |
375 |
$4K |
| 90744 |
|
347 |
324 |
$4K |
| 0001A |
|
80 |
80 |
$3K |
| 0002A |
|
81 |
81 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
343 |
316 |
$3K |
| 90656 |
|
238 |
212 |
$3K |
| 0072A |
|
104 |
102 |
$2K |
| 92551 |
|
152 |
137 |
$1K |
| 96161 |
|
1,062 |
951 |
$769.92 |
| 0071A |
|
90 |
87 |
$640.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
17 |
$526.35 |
| 85018 |
|
277 |
238 |
$393.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
802 |
675 |
$392.60 |
| 90672 |
|
26 |
26 |
$336.30 |
| 90688 |
|
29 |
28 |
$330.64 |
| 83655 |
|
386 |
330 |
$293.91 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$194.56 |
| 94760 |
|
237 |
161 |
$178.91 |
| 99072 |
|
18,174 |
16,950 |
$151.17 |
| 90734 |
|
13 |
13 |
$143.00 |
| 86580 |
|
16 |
16 |
$107.68 |
| 36416 |
|
2,786 |
2,513 |
$40.38 |
| 81002 |
|
12 |
12 |
$35.52 |
| 80061 |
Lipid panel |
54 |
53 |
$13.39 |
| 99051 |
|
3,651 |
3,480 |
$0.00 |
| 91300 |
|
168 |
146 |
$0.00 |
| 91311 |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
42 |
42 |
$0.00 |
| 91307 |
|
248 |
238 |
$0.00 |
| S8301 |
Infection control supplies, not otherwise specified |
13 |
13 |
$0.00 |