| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,345 |
2,830 |
$249K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
938 |
820 |
$103K |
| 92552 |
|
1,080 |
1,041 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
185 |
182 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
152 |
147 |
$17K |
| 99384 |
|
61 |
59 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
190 |
171 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
64 |
62 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
129 |
125 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
260 |
238 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
75 |
$5K |
| 99383 |
|
48 |
42 |
$5K |
| 96127 |
|
1,093 |
964 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
393 |
374 |
$3K |
| 99173 |
|
1,039 |
999 |
$2K |
| 99382 |
|
21 |
19 |
$2K |
| 90655 |
|
105 |
102 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 96160 |
|
516 |
470 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
83 |
79 |
$1K |
| 90734 |
|
31 |
30 |
$651.84 |
| 90649 |
|
51 |
49 |
$651.84 |
| 0071A |
|
15 |
15 |
$600.00 |
| 90670 |
|
27 |
26 |
$558.72 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
13 |
$513.30 |
| 90707 |
|
31 |
30 |
$512.16 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
47 |
$486.92 |
| 90716 |
|
29 |
28 |
$465.60 |
| 0002A |
|
13 |
13 |
$440.00 |
| 0001A |
|
12 |
12 |
$440.00 |
| 90648 |
|
16 |
16 |
$349.20 |
| 90715 |
|
12 |
12 |
$279.36 |
| 90633 |
|
12 |
12 |
$256.08 |
| 90710 |
|
13 |
13 |
$256.08 |
| 90685 |
|
29 |
29 |
$252.80 |
| 90696 |
|
12 |
12 |
$209.52 |
| 36415 |
Collection of venous blood by venipuncture |
104 |
98 |
$193.71 |
| 81025 |
|
33 |
32 |
$164.50 |
| 96161 |
|
61 |
60 |
$146.81 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
14 |
$78.84 |
| 99000 |
|
28 |
21 |
$15.00 |
| 99072 |
|
44 |
35 |
$0.00 |