| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,866 |
39,733 |
$2.62M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,276 |
16,431 |
$1.66M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,586 |
15,288 |
$497K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,550 |
5,416 |
$467K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,217 |
5,143 |
$467K |
| 90461 |
|
4,467 |
4,396 |
$135K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,357 |
1,333 |
$123K |
| 87428 |
|
2,040 |
2,022 |
$120K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,010 |
7,740 |
$104K |
| 99460 |
|
1,097 |
1,073 |
$91K |
| 97802 |
|
3,650 |
3,524 |
$86K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,716 |
1,700 |
$85K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
790 |
773 |
$82K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
616 |
608 |
$80K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,895 |
2,838 |
$76K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,967 |
1,942 |
$70K |
| 99215 |
Prolong outpt/office vis |
519 |
503 |
$69K |
| G9153 |
Mapcp demonstration - physician incentive pool |
1,121 |
1,110 |
$59K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
441 |
433 |
$56K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,111 |
4,968 |
$37K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
334 |
325 |
$31K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
309 |
304 |
$20K |
| 87807 |
|
1,041 |
1,023 |
$12K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
937 |
875 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
409 |
389 |
$8K |
| 99177 |
|
2,127 |
2,099 |
$8K |
| 83655 |
|
507 |
500 |
$6K |
| 99051 |
|
390 |
388 |
$4K |
| 81003 |
|
1,994 |
1,911 |
$4K |
| 54150 |
|
42 |
42 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
109 |
109 |
$2K |
| 94760 |
|
3,111 |
2,823 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
13 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
128 |
117 |
$973.34 |
| 96127 |
|
159 |
154 |
$807.90 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$615.72 |
| 99188 |
|
45 |
45 |
$578.92 |
| 36415 |
Collection of venous blood by venipuncture |
140 |
136 |
$354.71 |
| 99441 |
|
14 |
14 |
$240.36 |
| 80305 |
|
12 |
12 |
$107.01 |
| 90686 |
|
1,168 |
1,143 |
$1.47 |
| 90697 |
|
216 |
215 |
$0.73 |
| 90677 |
|
238 |
236 |
$0.69 |
| 90670 |
|
1,327 |
1,308 |
$0.35 |
| 90680 |
|
289 |
284 |
$0.17 |
| 90651 |
|
26 |
26 |
$0.12 |
| 90633 |
|
187 |
183 |
$0.03 |
| 90619 |
|
30 |
30 |
$0.01 |
| 90734 |
|
16 |
15 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 90715 |
|
30 |
29 |
$0.00 |
| 36416 |
|
41 |
41 |
$0.00 |
| 90698 |
|
393 |
381 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 99000 |
|
32 |
31 |
$0.00 |