| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,419 |
9,528 |
$1.80M |
| T1015 |
Clinic visit/encounter, all-inclusive |
10,039 |
7,521 |
$928K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,457 |
2,360 |
$420K |
| 90832 |
Psychotherapy, 30 minutes with patient |
557 |
415 |
$91K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
456 |
432 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
455 |
449 |
$77K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
314 |
310 |
$63K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
356 |
327 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
327 |
295 |
$50K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
302 |
281 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
594 |
564 |
$14K |
| 87428 |
|
183 |
177 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,170 |
634 |
$6K |
| 99199 |
Unlisted special service, procedure or report |
2,008 |
1,945 |
$6K |
| 90670 |
|
141 |
134 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
672 |
643 |
$4K |
| 99177 |
|
940 |
898 |
$3K |
| 99215 |
Prolong outpt/office vis |
16 |
14 |
$2K |
| 99381 |
|
12 |
12 |
$2K |
| 97802 |
|
110 |
102 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
16 |
12 |
$2K |
| 92587 |
|
1,062 |
1,007 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
716 |
694 |
$2K |
| 0011A |
|
35 |
34 |
$1K |
| 96160 |
|
261 |
257 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
331 |
320 |
$1K |
| 90686 |
|
118 |
107 |
$964.19 |
| 96161 |
|
160 |
154 |
$673.98 |
| G9153 |
Mapcp demonstration - physician incentive pool |
14 |
13 |
$390.00 |
| 90723 |
|
43 |
39 |
$386.35 |
| 96127 |
|
240 |
231 |
$349.01 |
| 90681 |
|
12 |
12 |
$237.78 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
166 |
164 |
$153.66 |
| 99406 |
|
14 |
13 |
$116.37 |
| 90647 |
|
40 |
40 |
$77.07 |
| 90633 |
|
44 |
37 |
$62.64 |
| 87807 |
|
12 |
12 |
$50.46 |
| 85018 |
|
42 |
41 |
$33.60 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
24 |
$18.70 |
| 81003 |
|
12 |
12 |
$10.76 |
| 36416 |
|
48 |
38 |
$9.48 |
| 3074F |
|
44 |
43 |
$0.00 |
| 90677 |
|
27 |
27 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
21 |
21 |
$0.00 |