| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,374 |
6,137 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,056 |
1,886 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,012 |
993 |
$9K |
| 87428 |
|
325 |
311 |
$8K |
| 99215 |
Prolong outpt/office vis |
138 |
132 |
$5K |
| 99442 |
|
226 |
220 |
$5K |
| T1015 |
Clinic visit/encounter, all-inclusive |
15 |
13 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
255 |
251 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
235 |
234 |
$2K |
| 0001A |
|
95 |
95 |
$2K |
| 99441 |
|
233 |
229 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
149 |
148 |
$2K |
| 0002A |
|
76 |
76 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
296 |
293 |
$1K |
| 81025 |
|
381 |
368 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
123 |
123 |
$974.41 |
| 90688 |
|
117 |
116 |
$851.53 |
| 81002 |
|
704 |
682 |
$827.15 |
| 90686 |
|
268 |
264 |
$753.45 |
| 0071A |
|
26 |
26 |
$600.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
32 |
30 |
$539.83 |
| 0072A |
|
26 |
26 |
$480.00 |
| 99443 |
|
14 |
14 |
$439.60 |
| 0003A |
|
15 |
15 |
$320.00 |
| 0124A |
|
16 |
16 |
$320.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$183.98 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$137.58 |
| 90658 |
|
13 |
13 |
$121.76 |
| 90651 |
|
129 |
129 |
$90.06 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
40 |
$89.16 |
| 90715 |
|
13 |
13 |
$70.56 |
| 90619 |
|
22 |
21 |
$65.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$57.40 |
| 90734 |
|
14 |
14 |
$22.23 |
| 90656 |
|
46 |
46 |
$14.24 |
| 82948 |
|
17 |
16 |
$11.82 |
| 3074F |
|
1,766 |
1,551 |
$0.00 |
| 3079F |
|
279 |
260 |
$0.00 |
| 3044F |
|
170 |
151 |
$0.00 |
| 3075F |
|
64 |
58 |
$0.00 |
| 3078F |
|
1,619 |
1,435 |
$0.00 |
| 91300 |
|
210 |
204 |
$0.00 |