| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,130 |
16,920 |
$967K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,031 |
5,385 |
$297K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,871 |
1,861 |
$132K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,989 |
1,978 |
$119K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,669 |
1,660 |
$94K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,770 |
1,687 |
$66K |
| 92551 |
|
4,938 |
4,887 |
$62K |
| 87428 |
|
847 |
817 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,437 |
1,261 |
$42K |
| 99173 |
|
4,866 |
4,832 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
374 |
363 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,577 |
2,440 |
$16K |
| 90686 |
|
1,340 |
1,335 |
$13K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
774 |
731 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
127 |
123 |
$9K |
| 86580 |
|
1,000 |
986 |
$3K |
| 90670 |
|
274 |
273 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
410 |
199 |
$2K |
| 90651 |
|
214 |
212 |
$2K |
| 94760 |
|
957 |
780 |
$1K |
| 90700 |
|
114 |
113 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 99381 |
|
13 |
13 |
$940.80 |
| 99382 |
|
13 |
13 |
$765.83 |
| 90734 |
|
47 |
47 |
$629.22 |
| 90707 |
|
54 |
54 |
$585.00 |
| 90633 |
|
41 |
41 |
$416.25 |
| 90716 |
|
26 |
26 |
$270.00 |
| 90698 |
|
25 |
25 |
$254.25 |
| 90685 |
|
13 |
13 |
$146.25 |
| 85018 |
|
103 |
102 |
$126.57 |
| 81002 |
|
76 |
73 |
$94.60 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,554 |
1,537 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |