| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,941 |
6,986 |
$819K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
477 |
460 |
$64K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,790 |
2,611 |
$60K |
| 92552 |
|
1,705 |
1,698 |
$57K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
427 |
426 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
717 |
658 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
335 |
335 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
85 |
85 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
51 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
44 |
$5K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
370 |
370 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
325 |
317 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
105 |
101 |
$4K |
| 90461 |
|
63 |
63 |
$2K |
| 90686 |
|
802 |
799 |
$2K |
| 0071A |
|
27 |
27 |
$1K |
| 99441 |
|
21 |
21 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
61 |
32 |
$850.94 |
| 0072A |
|
20 |
20 |
$805.76 |
| 0154A |
|
12 |
12 |
$487.59 |
| 86580 |
|
45 |
44 |
$398.08 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13 |
13 |
$313.27 |
| 90656 |
|
66 |
66 |
$131.52 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
66 |
66 |
$117.81 |
| 83655 |
|
12 |
12 |
$116.86 |
| 36410 |
|
55 |
54 |
$92.99 |
| 99173 |
|
165 |
165 |
$72.75 |
| 36415 |
Collection of venous blood by venipuncture |
61 |
61 |
$24.00 |
| 85018 |
|
12 |
12 |
$22.85 |
| 91307 |
|
47 |
34 |
$0.94 |
| 91315 |
|
12 |
12 |
$0.08 |
| 90685 |
|
45 |
45 |
$0.00 |
| 90672 |
|
13 |
13 |
$0.00 |