| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,168 |
4,622 |
$165K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,407 |
3,112 |
$148K |
| 99091 |
|
787 |
747 |
$121K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
974 |
932 |
$87K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
919 |
898 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,530 |
1,484 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
395 |
389 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
580 |
563 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,277 |
1,285 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,305 |
640 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
166 |
166 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
121 |
118 |
$9K |
| 99384 |
|
85 |
83 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
588 |
566 |
$8K |
| 92551 |
|
681 |
659 |
$6K |
| 99385 |
|
65 |
64 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
490 |
486 |
$6K |
| 90686 |
|
592 |
567 |
$5K |
| 90715 |
|
276 |
269 |
$4K |
| 90651 |
|
222 |
218 |
$4K |
| 99383 |
|
32 |
32 |
$3K |
| 90734 |
|
200 |
193 |
$3K |
| 96160 |
|
1,184 |
1,146 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
155 |
138 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$1K |
| 90656 |
|
109 |
109 |
$1K |
| 90461 |
|
162 |
139 |
$1K |
| 90619 |
|
103 |
95 |
$1K |
| 81003 |
|
518 |
494 |
$905.60 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
14 |
$590.31 |
| 81025 |
|
64 |
64 |
$464.85 |
| 93000 |
|
40 |
39 |
$411.91 |
| 96161 |
|
77 |
63 |
$109.19 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$28.29 |
| 96127 |
|
652 |
634 |
$3.97 |
| 3008F |
|
829 |
737 |
$0.00 |
| 3074F |
|
511 |
450 |
$0.00 |
| 3079F |
|
104 |
95 |
$0.00 |
| 3075F |
|
62 |
60 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 99058 |
|
137 |
126 |
$0.00 |
| 3080F |
|
43 |
42 |
$0.00 |
| 3078F |
|
317 |
273 |
$0.00 |
| 3077F |
|
45 |
43 |
$0.00 |
| 1160F |
|
14 |
14 |
$0.00 |
| 1159F |
|
61 |
59 |
$0.00 |
| 99173 |
|
51 |
51 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |