| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,073 |
17,183 |
$1.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,450 |
4,072 |
$272K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
5,059 |
4,367 |
$152K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,577 |
3,269 |
$122K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,647 |
9,250 |
$110K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,639 |
6,059 |
$80K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,685 |
4,565 |
$75K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,276 |
3,012 |
$66K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,006 |
994 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
928 |
909 |
$56K |
| 92552 |
|
3,405 |
3,214 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
647 |
632 |
$41K |
| 99215 |
Prolong outpt/office vis |
363 |
344 |
$35K |
| 36410 |
|
1,337 |
1,274 |
$25K |
| 90651 |
|
334 |
307 |
$24K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,439 |
1,205 |
$20K |
| 92567 |
|
2,227 |
2,169 |
$16K |
| 99188 |
|
790 |
784 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
236 |
226 |
$14K |
| 99050 |
|
1,744 |
1,603 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
443 |
363 |
$12K |
| 90688 |
|
1,189 |
1,125 |
$10K |
| 0001A |
|
138 |
135 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
66 |
$5K |
| 90619 |
|
48 |
46 |
$4K |
| 90734 |
|
114 |
103 |
$3K |
| 92015 |
Determination of refractive state |
284 |
282 |
$3K |
| 90660 |
|
357 |
339 |
$2K |
| 99173 |
|
1,275 |
1,217 |
$2K |
| 99402 |
|
63 |
63 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
325 |
131 |
$2K |
| 0002A |
|
41 |
41 |
$2K |
| 90670 |
|
107 |
90 |
$1K |
| 86580 |
|
362 |
339 |
$1K |
| 90672 |
|
51 |
51 |
$882.30 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$728.52 |
| 99403 |
|
12 |
12 |
$538.83 |
| 90473 |
|
53 |
53 |
$534.20 |
| 90655 |
|
150 |
134 |
$525.24 |
| 90700 |
|
242 |
215 |
$516.69 |
| 0003A |
|
12 |
12 |
$480.00 |
| 92588 |
|
13 |
13 |
$418.36 |
| 96127 |
|
137 |
130 |
$386.22 |
| 90713 |
|
136 |
125 |
$358.22 |
| 90647 |
|
123 |
105 |
$237.49 |
| 90707 |
|
28 |
26 |
$235.44 |
| 90633 |
|
45 |
40 |
$201.47 |
| 90715 |
|
28 |
22 |
$190.36 |
| 90744 |
|
62 |
52 |
$189.20 |
| 90716 |
|
15 |
13 |
$183.00 |
| 36415 |
Collection of venous blood by venipuncture |
95 |
90 |
$179.88 |
| 83655 |
|
17 |
14 |
$60.00 |
| 91300 |
|
211 |
201 |
$17.00 |
| 90378 |
|
13 |
12 |
$0.00 |
| 99072 |
|
129 |
117 |
$0.00 |