| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,183 |
16,474 |
$976K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,069 |
3,688 |
$288K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
416 |
413 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
388 |
383 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
392 |
384 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
305 |
296 |
$29K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,561 |
1,149 |
$13K |
| 96127 |
|
3,353 |
3,217 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,247 |
1,226 |
$12K |
| 96160 |
|
3,967 |
3,483 |
$10K |
| 90688 |
|
474 |
465 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
775 |
373 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
54 |
$6K |
| 90670 |
|
259 |
247 |
$6K |
| 80061 |
Lipid panel |
557 |
510 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
608 |
557 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
90 |
82 |
$2K |
| 90698 |
|
70 |
68 |
$1K |
| 90700 |
|
56 |
56 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
119 |
112 |
$1K |
| 82947 |
|
590 |
537 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
125 |
119 |
$950.63 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
27 |
$875.19 |
| 99406 |
|
90 |
82 |
$795.64 |
| 0012A |
|
28 |
26 |
$694.92 |
| 90633 |
|
25 |
25 |
$549.00 |
| 90710 |
|
25 |
25 |
$527.04 |
| 0011A |
|
12 |
12 |
$440.00 |
| 87807 |
|
39 |
38 |
$311.78 |
| 81002 |
|
164 |
145 |
$300.23 |
| 90734 |
|
13 |
13 |
$285.48 |
| 90744 |
|
12 |
12 |
$263.52 |
| 90658 |
|
14 |
14 |
$245.03 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
32 |
27 |
$42.30 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
547 |
515 |
$0.00 |
| G9920 |
Screening performed and negative |
1,471 |
1,400 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
157 |
146 |
$0.00 |