| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,973 |
21,962 |
$2.26M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,132 |
16,091 |
$2.15M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,711 |
5,285 |
$582K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,039 |
5,159 |
$577K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,249 |
3,737 |
$411K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,162 |
2,761 |
$333K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,953 |
3,369 |
$151K |
| 87428 |
|
3,260 |
2,142 |
$139K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,152 |
860 |
$136K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,194 |
4,727 |
$126K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,543 |
10,593 |
$113K |
| 90648 |
|
5,331 |
4,468 |
$103K |
| 90677 |
|
1,302 |
1,196 |
$95K |
| 92551 |
|
10,729 |
9,364 |
$91K |
| 90723 |
|
4,197 |
3,526 |
$81K |
| 99215 |
Prolong outpt/office vis |
659 |
508 |
$81K |
| 90686 |
|
4,310 |
3,507 |
$80K |
| 90670 |
|
4,190 |
3,374 |
$79K |
| 96127 |
|
17,128 |
14,382 |
$71K |
| 90680 |
|
3,579 |
2,986 |
$69K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,533 |
4,692 |
$63K |
| 99383 |
|
558 |
503 |
$62K |
| 90633 |
|
2,897 |
2,425 |
$57K |
| 90716 |
|
2,672 |
2,265 |
$53K |
| 90707 |
|
2,634 |
2,228 |
$52K |
| 90651 |
|
1,823 |
1,563 |
$36K |
| 83655 |
|
3,395 |
2,836 |
$33K |
| 90734 |
|
1,683 |
1,400 |
$32K |
| D1206 |
Topical application of fluoride varnish |
2,000 |
1,083 |
$27K |
| A4614 |
Peak expiratory flow rate meter, hand held |
1,810 |
1,455 |
$26K |
| 99173 |
|
10,895 |
9,503 |
$25K |
| 90715 |
|
1,258 |
1,066 |
$25K |
| 99384 |
|
193 |
170 |
$24K |
| 87807 |
|
2,306 |
1,964 |
$23K |
| 90700 |
|
1,177 |
976 |
$23K |
| 90696 |
|
1,052 |
921 |
$22K |
| 99382 |
|
149 |
141 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
131 |
123 |
$15K |
| 90744 |
|
662 |
624 |
$15K |
| 90620 |
|
669 |
595 |
$14K |
| 3008F |
|
10,144 |
8,811 |
$12K |
| 99381 |
|
104 |
99 |
$11K |
| 90656 |
|
383 |
375 |
$9K |
| 96161 |
|
2,794 |
2,478 |
$7K |
| 85018 |
|
3,760 |
3,075 |
$7K |
| 99243 |
|
49 |
45 |
$6K |
| 0071A |
|
191 |
120 |
$5K |
| 81025 |
|
788 |
682 |
$5K |
| 0072A |
|
129 |
87 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
155 |
141 |
$3K |
| 0001A |
|
108 |
70 |
$3K |
| 86580 |
|
421 |
394 |
$3K |
| 81002 |
|
1,009 |
850 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
31 |
$2K |
| 2015F |
|
401 |
357 |
$2K |
| 99051 |
|
192 |
170 |
$2K |
| 90381 |
|
24 |
24 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
13 |
$1K |
| 96160 |
|
457 |
438 |
$1K |
| 0002A |
|
34 |
28 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
77 |
69 |
$960.19 |
| 94760 |
|
312 |
261 |
$808.60 |
| 17250 |
|
15 |
12 |
$764.12 |
| W7000 |
|
154 |
151 |
$709.32 |
| 90688 |
|
23 |
23 |
$474.08 |
| 36416 |
|
1,857 |
1,515 |
$399.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
59 |
46 |
$373.91 |
| 99058 |
|
42 |
39 |
$356.11 |
| 36415 |
Collection of venous blood by venipuncture |
122 |
120 |
$271.50 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
22 |
12 |
$30.00 |
| 99000 |
|
32 |
28 |
$22.50 |
| 91307 |
|
324 |
216 |
$0.00 |
| 91300 |
|
237 |
159 |
$0.00 |