| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,944 |
1,665 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
297 |
251 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
382 |
341 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
366 |
321 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
264 |
238 |
$15K |
| 99173 |
|
631 |
538 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
160 |
135 |
$9K |
| 92551 |
|
719 |
626 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
114 |
98 |
$6K |
| 3008F |
|
879 |
761 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
144 |
100 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
104 |
95 |
$4K |
| 90686 |
|
527 |
438 |
$4K |
| 99188 |
|
242 |
215 |
$3K |
| 90677 |
|
153 |
143 |
$2K |
| 96127 |
|
472 |
419 |
$2K |
| 99000 |
|
547 |
474 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
132 |
119 |
$2K |
| 83655 |
|
186 |
162 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
34 |
$1K |
| 90707 |
|
111 |
97 |
$1K |
| 90716 |
|
108 |
93 |
$1K |
| 36416 |
|
360 |
308 |
$774.36 |
| 90633 |
|
65 |
56 |
$765.00 |
| 90651 |
|
62 |
49 |
$764.64 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
67 |
59 |
$695.68 |
| 80061 |
Lipid panel |
54 |
45 |
$512.35 |
| 87807 |
|
41 |
37 |
$483.98 |
| 81003 |
|
173 |
140 |
$428.66 |
| 90723 |
|
27 |
26 |
$390.00 |
| 90670 |
|
79 |
69 |
$348.24 |
| 90698 |
|
62 |
58 |
$300.00 |
| 90680 |
|
27 |
26 |
$275.00 |
| 90619 |
|
27 |
17 |
$201.30 |
| 90674 |
|
13 |
13 |
$195.90 |
| 82947 |
|
54 |
45 |
$150.69 |
| 90715 |
|
33 |
28 |
$140.00 |
| 85018 |
|
72 |
60 |
$138.04 |
| 90734 |
|
24 |
19 |
$95.00 |
| 90744 |
|
17 |
14 |
$80.00 |
| 82948 |
|
26 |
25 |
$67.77 |
| 90700 |
|
13 |
12 |
$60.00 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
41 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
614 |
543 |
$0.00 |
| 90461 |
|
360 |
317 |
$0.00 |