| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,875 |
3,471 |
$685K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,098 |
957 |
$183K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
687 |
655 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
628 |
569 |
$101K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
552 |
526 |
$92K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
468 |
451 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
242 |
232 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,774 |
1,578 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
818 |
787 |
$1K |
| 99173 |
|
1,713 |
1,622 |
$913.00 |
| 36416 |
|
1,164 |
1,103 |
$732.88 |
| 92551 |
|
1,714 |
1,622 |
$398.30 |
| 87430 |
|
1,182 |
1,118 |
$327.84 |
| 90686 |
|
94 |
88 |
$260.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
81 |
77 |
$190.07 |
| 3725F |
|
712 |
686 |
$178.99 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,957 |
942 |
$134.60 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
58 |
54 |
$84.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
147 |
138 |
$69.54 |
| 87400 |
|
65 |
61 |
$63.58 |
| 85018 |
|
839 |
790 |
$0.00 |
| 3074F |
|
746 |
669 |
$0.00 |
| 3008F |
|
779 |
708 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
43 |
$0.00 |
| 90651 |
|
18 |
17 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
42 |
41 |
$0.00 |
| 90715 |
|
16 |
15 |
$0.00 |
| 3078F |
|
712 |
651 |
$0.00 |
| 81003 |
|
40 |
39 |
$0.00 |
| 90734 |
|
18 |
17 |
$0.00 |