| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,187 |
7,343 |
$702K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,848 |
4,306 |
$519K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,349 |
1,895 |
$249K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,058 |
1,861 |
$240K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,454 |
1,266 |
$142K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,690 |
3,340 |
$89K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
585 |
507 |
$69K |
| 90461 |
|
2,540 |
2,137 |
$55K |
| 99215 |
Prolong outpt/office vis |
158 |
138 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,527 |
2,222 |
$13K |
| 81000 |
|
2,797 |
2,361 |
$4K |
| 90698 |
|
1,389 |
1,259 |
$4K |
| 90670 |
|
1,629 |
1,417 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
28 |
25 |
$2K |
| 99460 |
|
15 |
14 |
$1K |
| 99381 |
|
16 |
15 |
$1K |
| 99401 |
|
122 |
117 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
284 |
157 |
$477.17 |
| 81001 |
|
318 |
277 |
$394.03 |
| 90686 |
|
450 |
409 |
$235.55 |
| 90710 |
|
290 |
270 |
$202.41 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
15 |
$175.00 |
| 96127 |
|
281 |
252 |
$160.88 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
31 |
18 |
$98.26 |
| 90744 |
|
411 |
373 |
$24.01 |
| 99173 |
|
2,726 |
2,283 |
$20.01 |
| 81002 |
|
39 |
37 |
$19.90 |
| 92551 |
|
2,977 |
2,481 |
$16.86 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
885 |
838 |
$3.95 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
63 |
54 |
$0.02 |
| 90651 |
|
66 |
51 |
$0.00 |
| 90680 |
|
27 |
15 |
$0.00 |
| 99000 |
|
18 |
16 |
$0.00 |
| 90621 |
|
85 |
67 |
$0.00 |
| 99072 |
|
65 |
61 |
$0.00 |
| 90681 |
|
212 |
195 |
$0.00 |
| 90734 |
|
66 |
44 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |
| 90633 |
|
272 |
253 |
$0.00 |
| 90700 |
|
28 |
28 |
$0.00 |
| 90658 |
|
68 |
65 |
$0.00 |