| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,644 |
4,818 |
$241K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,208 |
1,112 |
$79K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
412 |
378 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
339 |
306 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
1,150 |
1,049 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
637 |
562 |
$14K |
| 92552 |
|
550 |
517 |
$12K |
| 90837 |
Psychotherapy, 53 minutes with patient |
165 |
131 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
853 |
381 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
223 |
212 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
871 |
754 |
$11K |
| 99173 |
|
633 |
589 |
$8K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
601 |
530 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
155 |
140 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
375 |
322 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
80 |
78 |
$5K |
| 98926 |
|
194 |
146 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
227 |
194 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
447 |
385 |
$5K |
| 98928 |
|
60 |
51 |
$3K |
| 98927 |
|
64 |
52 |
$2K |
| 95886 |
|
31 |
26 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,038 |
751 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
24 |
$2K |
| 90686 |
|
197 |
167 |
$2K |
| 87807 |
|
81 |
72 |
$1K |
| 90670 |
|
71 |
66 |
$1K |
| 90648 |
|
85 |
77 |
$1K |
| 74018 |
|
99 |
95 |
$1K |
| 91322 |
|
22 |
13 |
$1K |
| 90723 |
|
42 |
40 |
$973.16 |
| 98925 |
|
53 |
47 |
$900.70 |
| 81003 |
|
187 |
174 |
$813.62 |
| 90633 |
|
46 |
44 |
$752.37 |
| 74019 |
|
32 |
30 |
$529.17 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$411.14 |
| 90473 |
|
16 |
15 |
$333.20 |
| 90710 |
|
12 |
12 |
$288.75 |
| 90681 |
|
17 |
16 |
$272.33 |
| 90656 |
|
17 |
14 |
$156.45 |
| 1036F |
|
76 |
57 |
$100.00 |
| 3074F |
|
108 |
93 |
$100.00 |
| 96127 |
|
21 |
19 |
$58.01 |
| 3079F |
|
18 |
15 |
$50.00 |
| 3078F |
|
100 |
84 |
$50.00 |
| 91307 |
|
26 |
26 |
$0.00 |
| 3008F |
|
24 |
22 |
$0.00 |
| 91300 |
|
27 |
24 |
$0.00 |