| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,645 |
20,035 |
$1.39M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,698 |
4,269 |
$396K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,999 |
2,848 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,070 |
1,007 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,288 |
2,082 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
225 |
202 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
211 |
178 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
158 |
153 |
$19K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
729 |
705 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
134 |
131 |
$15K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
3,178 |
3,178 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
102 |
96 |
$10K |
| 90686 |
|
866 |
846 |
$8K |
| 87631 |
|
73 |
69 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
84 |
57 |
$7K |
| 80053 |
Comprehensive metabolic panel |
180 |
167 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
230 |
222 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
241 |
129 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,507 |
1,388 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
93 |
69 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
58 |
45 |
$3K |
| 90670 |
|
41 |
38 |
$1K |
| 90734 |
|
12 |
12 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
245 |
230 |
$1K |
| 90651 |
|
15 |
15 |
$656.07 |
| 84439 |
|
59 |
58 |
$593.37 |
| S0315 |
Disease management program; initial assessment and initiation of the program |
62 |
62 |
$465.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
38 |
37 |
$399.23 |
| 99173 |
|
117 |
117 |
$377.81 |
| 84443 |
Thyroid stimulating hormone (TSH) |
64 |
62 |
$346.46 |
| 83735 |
|
41 |
39 |
$282.72 |
| 93000 |
|
14 |
14 |
$268.80 |
| 90647 |
|
13 |
12 |
$100.24 |
| 90685 |
|
13 |
13 |
$73.48 |
| 86140 |
|
15 |
13 |
$62.57 |
| 81003 |
|
12 |
12 |
$24.75 |
| 90723 |
|
12 |
12 |
$0.00 |