| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,484 |
14,024 |
$1.41M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,229 |
9,805 |
$682K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,055 |
2,652 |
$174K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,150 |
2,675 |
$172K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,847 |
2,483 |
$154K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,513 |
2,158 |
$137K |
| 99215 |
Prolong outpt/office vis |
812 |
664 |
$90K |
| Q3014 |
Telehealth originating site facility fee |
4,632 |
3,786 |
$79K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,927 |
5,112 |
$67K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,044 |
2,584 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
350 |
300 |
$43K |
| 90670 |
|
2,210 |
1,948 |
$35K |
| 90648 |
|
2,005 |
1,784 |
$33K |
| 90723 |
|
1,800 |
1,591 |
$29K |
| 92551 |
|
5,787 |
4,998 |
$24K |
| 99173 |
|
5,677 |
4,887 |
$20K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
577 |
495 |
$20K |
| 90633 |
|
1,219 |
1,087 |
$20K |
| 90649 |
|
1,068 |
874 |
$16K |
| 90681 |
|
825 |
723 |
$13K |
| 90658 |
|
765 |
716 |
$13K |
| 90734 |
|
665 |
567 |
$11K |
| 90620 |
|
441 |
383 |
$8K |
| 90715 |
|
408 |
315 |
$6K |
| 90660 |
|
297 |
261 |
$5K |
| 90657 |
|
343 |
311 |
$5K |
| 90619 |
|
320 |
247 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
410 |
378 |
$4K |
| 90710 |
|
253 |
182 |
$3K |
| 90696 |
|
232 |
162 |
$3K |
| 90671 |
|
147 |
137 |
$2K |
| 90716 |
|
96 |
94 |
$2K |
| 90700 |
|
76 |
73 |
$1K |
| 90707 |
|
64 |
63 |
$1K |
| 90677 |
|
64 |
62 |
$1K |
| 87430 |
|
76 |
69 |
$761.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
26 |
$475.00 |
| 90656 |
|
15 |
15 |
$296.55 |
| 36416 |
|
68 |
60 |
$145.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
206 |
201 |
$105.00 |
| 97803 |
|
408 |
377 |
$0.00 |
| 90473 |
|
58 |
51 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22 |
22 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
60 |
59 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
150 |
145 |
$0.00 |
| 97535 |
Self-care/home management training, each 15 minutes |
216 |
196 |
$0.00 |